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pppL, ^ AVPLICATiON FOR SERVICE SERVICE V° 3 % <br /> No. ���i,•1� ORDE�, , <br /> �.��G CITY F EVERETT WATER DEPT. oA %��� � _19� <br /> FIXED T� <br /> ❑ L /�� `-���2!•�L-'fi—r"��� <br /> � DEPOSIT � `-^V�_ � No�� <br /> -�'�i� � <br /> SERVICE �er nooacss� 6LK. LOT ADD. <br /> OWNER CONTFAC/TOR_ ,t <br /> INSTAU METERED SERVICE_ �'—���=�,=L'�'�-l-!`'./ `.'�'�"""'v �j5� �� �� <br /> I HEPEBY APPLY FOR THE I15E OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIE5 OF THE WATER DEPAR7MENT NOW E"IS71NG r ��.��-�Q� �y d-C_p-C'-j <br /> OR AS SAME MAY BE HEREAF7ER CHANGED. sicNeo: X - <br /> IAATERIALS 3i IN. 1 IN. � 2 IN. . � I PRICE AMOUNT <br /> p�pE �COPPER-GALV.--STEEL °IG� _L_ S � <br /> CORPORATION I ��-- <br /> EuRe cock ---(oTi � � ��Z�_ <br /> –S- —I I <br /> SERVICE BOX PLASTIC -• C I —_ � <br /> METER VAWE ____ � <br /> METER No. TYPE: I 36 _ <br /> METER DOX CONCRETE SMALL LARGE _ I <br /> Y�. c I � _ � �3 <br /> V I � <br /> I _ I_ <br /> � <br /> I <br /> I I ' � " <br /> ON <br /> DATE INSTALL[D:3_i� - G I I ❑ OFF -��� i � ; SUB TOTAL ��� - � <br /> COOE I L�90R ANOEOUIPMENiRENTAL I HOURS RATE <br /> I � � � � � <br /> ;, ;,s"��" � <br /> -- I I I <br /> I. '�)L'�.�nt�� � 5 h "!'1 �� �'�' � <br /> u � ��� ( - <br /> � <br /> —�'�_—�[{� I 2 i, 5� I I �I ��� <br /> � -- ---- ----�-- J � <br /> _� I I� <br /> TOTAL �,����f <br /> REMARKS: _ .._ - <br /> _ _—.__-__ -__- — ` J <br />