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No�����I CITY OF EVERETT ORD6R E No. 3�G 0 I <br /> APPLICATION FOR WATER SERVICE <br /> � FIX[D pp. DAT�_iG� . . - <br /> �� W.O. <br /> � DErOs1T s � ,� � �/ No. <br /> /1 CfC���I� y/) <br /> BLK.�LOT �AD�� � <br /> 9ERVICE c�rwooeun d � <br /> OWNE CONTRACTOR � <br /> /1 F ,f-- <br /> IN3TAL ETERED SE IG ___G�� . <br /> I HEREBY APPLY FUR T E OF WATER IN ACCORDANCE WITH THE � . <br /> ORDINIINCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING � � <br /> OR AS SAME MAY BE HEREAFTER CHANGED. elcr+eo: . <br /> MIITERIAL6 � IN. 1 IN. � IN. I PPICE �MOUNT <br /> � � <br /> pE IG COPPER-GALV.--STEEL � � <br /> GORPORATION N B SO O _ - <br /> CURB GOCK OT I — . <br /> SERVIC� BOX- PLASTIC -• C I I . <br /> METER VALVE �Y� 7 n� — — �I ----— <br /> METER No. ��p�LZ BI'4.SS TYPE: F-Yl Qf' I 'S __!-- — <br /> METER BOX CONCRETE �Q_�C MALL LARGE __ ___ <br /> 6"Se,ni«. So<1 lQ w�i'�ip (o,96-7, y _ i � — — <br /> 5 "1�1 u�s �5 "���— -- — — <br /> S�.r �_— —I Z — <br /> . F�_� _ I _ <br /> C4�f -�� I <br /> _ � II i <br /> ON <br /> DATE INSTALLED: rQ�-�.O��I � OFF SUB TOTAL <br /> COOE � .BOR AND EqU1PMEN'f RENTAL IIOURS R�TE <br /> S , V�C �� <br /> i C. M•_ye.�l „ --- <br /> —�_ .��i � � �� -- <br /> _' - �i-a��� � "�,�I 3 �� <br /> ' � k.Sr�.►�- I � " <br /> I �' Lr .%< < '�Fli � �l=� s' /J�� i�.. .:i- Cc ` �.i � �I�- �� <br /> I <br /> -- TOTAL <br /> REMARKS: � rj�r� !✓;�tn t� �:� � ✓,- n.. _. I... � ,..i.�G 'J: -� ¢ <br /> � }I: 7�..L ._ IF , .s ✓ �:' `.[,� /�c..��� — <br />