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-> <br />NOP ,�0��'� C1TY OF EVERETT seRvice � <br />APPLICATION FOR WATER SERVICE ORDER NO. . `� <br />�� FIXED Q,� OAT��:'—�`.__��_'1__18� <br />� DEPOSI7 S �j (/ / � H'. O. <br />--' � // No. _ <br />SERVICE(BYAD�PEe6)�/�b��,/- ��lvr����`g�_BLK.___LOT__�L.— � <br />OWNER ��!�� /� "��`�;�j���,/' _ _/ _ _CON7RAGTOR_ __ __ � X <br />�/ /' �CLAT / <br />INGTAL�j,J/ ./7�- _METERE SQ ERVICE__.__ <br />I HEREBY �(PPLY FOR TIIE USE OF WA7ER IN ACCORCAHCE WITd THE <br />ORDINANCES AND POLICIES OF TME WATCF DEPARTMENT NOW EXISTING �Q <br />Ofl AS SAME MAY BE HEREAFTER CHANGED. elcNEo:X _ ��/_7/ `(� _ <br />rr <br />M�TERInL6 L' 1%. � �ry, i 2 �N. i � I PpICE AMOUNi <br />PIPE __ __ OPPER GALV. •- STEEL I I I <br />CORPORATION <br />CURB COCK OT � <br />SERVICE BOX _ LASTIC �• C I _ <br />McTER VALVE <br />_METER No._ _____.__ TYPE � I �5 <br />METER BOX CONCRETE SMALL LARGE <br />—1Y�''X3/s�"zr -- <br />�=!"o_T ._ _ <br />I �—oN <br />DATE INSTALLE�: C'�/ p,� �J p I � OFF <br />J 0 / O <br />COOE � IABOR AND EpIIIPM[N! RENTAL <br />--i— <br />/ / ��// SUB TOTAL <br />11� <br />' HOURS RATE <br />�t/�'(.iiP�� ' —/3 ---- <br />--_�ps/_�P_T__' /3 - -- <br />��2C� — � _ /3— --- <br />; - –#3zaZ � � -- <br />, –– <br />— -- <br />------ --- '-- --- - <br />TOTAL <br />nemnrtn�: /i/.l(/!_i�;d.i �--Cl.�/=�\'—�.. �',-CU_Y�� � L7� �'C�✓��OL���'..! K./�. <br />� � � - <br />�'er ✓c�. d. -� % =.�' c� ! �.�F-_—_ --- <br />� <br />r <br />