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No�o'l3/�O GTY OP EVERETT ORDFR 6 N0. �� � 9 I <br /> APPLICATION FOR WATER SERVICE <br /> � FIXED �� DA ' �-1Y� <br /> W.O. <br /> � DEM51T f 6y,30 No. <br /> SERVIC[ (�Y ADDII[��) A�LU s � � � BLK._ LOT��.J�ADD. <br /> OWN6R��L /�'�y- CONTRACTQB[�' �$� �s�//T� �" <br /> '' F <br /> IN6TAL ETERED BERVIC <br /> I HEREBY APPLY FON THE USE OF WATER IN ACCORD�NCE WITN TNE <br /> ORDINANCES AND POLICIES OF THE WATER DEP�RTMENT NOW E%ISTING <br /> OR AS S�ME MAY BE HERE�FTER CHANGED. sicneo: X- _ <br /> MHTCRIAL4 �IN. 1 IN.I 2 IN. I P1110E wMOUNT <br /> PIPE COPPER-•GALV.-STEEL � <br /> CORPORATION <br /> CURB COCK OT I I <br /> SERVIGE BOX PLASTIC -• C 1 I <br /> MHTER VALVE <br /> N <br /> MLTER No. (�539 y TYPE: �� I f4 _ _ _ _ <br /> METER BOX CONCRETE SMALL LARGE <br /> —_I —_ <br /> I <br /> '_I _— <br /> I <br /> I <br /> I <br /> rrY ON <br /> � SUB TOTAL <br /> DATE INSTALLEO: � � OFF <br /> CODC I LABOR ANO EOUIPMEN'fNENTAL � HOURB RATE <br /> �I - I <br /> I I <br /> -, 5��� i _ - <br /> -� -- � <br /> -i <br /> -� <br /> TOTAL <br /> REMARKS: . t . r C c�'C� Cl�I.G� j <br /> t - <br />