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NOPL ����� CITY OF EVERETT SERVICE No 6151 <br /> ' APPLICATION FOR WATER SERVICE ORDER <br /> �FIXED ��� n nn ()(� <br /> DATE �,:�-.�L�y"�i\ <br /> � DElWs1T s W � <br /> � No. <br /> 9ERVICE <�v� oep�) � h , �C. l ���! . '�s� J /A� / <br /> BLK.. L07�1LAOD � '� � <br /> OWNE � � � C <br /> - N CONTRACTOR <br /> INSTAL TERED SERVIC <br /> I NEqEBY APPLY FOR TME USE OF WATER IN ACCORDANCE WITH THE �J <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING —� <br /> OR AS SAME MAY BE HEREAFTER CHANGED. �IGNeo: S�! <br /> /�/ MAT[p1AL{ �( IN• 1 IN• I � ��• I PRICE IIMOUNT <br /> r�rE ufOO � COPPER-• GALV.-• STEEL Q I � <br /> � I <br /> �oR 3 y - <br /> GURB ✓C 7 ' <br /> � <br /> SERVICE BOX PLASTIC -• G I I <br /> METER VALVE .rr IO Sd�� W�V`Q�, _� � <br /> METER No. TVPE: �-- I )f <br /> METE !OX `�CCNCR����LL �LARGE / _ <br /> a 3y�o03�7 -'-- � --- <br /> `� yZ I I <br /> • �00 Z --� —— — <br /> Sa ��}ol G �l �_i �_ <br /> �000 I coI �: fra� s <br /> t..,�a 4 r ✓' ��.c%� a � � <br /> I � ON <br /> DATE INSTALLED: / �,S �(g 9 � OFF SUB TOTAL <br /> (O <br /> COD[ � L�l011AND EOUI�MENfp[HTAL MOUps pATE <br /> _ f� i ��C'�l � l �T�-�.� <br /> . Ti�r�Kj� �_/l <br /> �— -- — Z � 38 �1L— -- <br /> ' —_ _ 35�1� <br /> � _ GSoS �� <br /> I <br /> I <br /> TOTAL <br /> REMARKS: <br />