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No��• ����?� AP►LICATION FOR SERVICE SERVICE N� Zzg'] <br /> ORDER <br /> ; <br /> CITY OF EVERETT WATER DEPT. <br /> � � FIXED DAYE-� - �--._i9� <br /> , �DEPOSIT s ��"7( r�j� W.b. <br /> No._ '__'-_ <br /> '� [f� -� �^ p�� l-s�T`. n� ,Ppo ra <br /> SERVICE (BYwOOREse)� T� S,�J��I.�I �BLK. LO't"�'���ADD._L�t-L..._[_A��6 , <br /> � OWNER���AV?__�?rn7'��-t CONTRACTOR- <br /> � FLAT <br /> � INSTAL�,• METERCD SERVICF .___ _ <br /> I I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE � <br /> � ORDINANCES AND POLICIES OF THE WATER CEPARTMEN7 NOW EXISTING <br /> i OR AS SAME MAY BE HEREAFTER CHANGED. eicNeo; X. _�����- _ <br /> MATERIAL6 yi1N. 1 . � 2 ;� PRICE AMQUNT <br /> L PIPE COPPER--GALV.--S7EEL � _ <br /> �. CORPORATION � / / <br /> �i CURB COCK OT _ --- _ � I � l� —� � <br /> � SERVICE BO%. PLASTIC -- C 1 I <br /> � METER VAWE ` �__ _ _� <br /> � -_— __._ <br /> �--- ' ---_-_ '_ _ <br /> I METER No. TYPE: I ��' i � <br /> L - -�--- - -- __- - -� - �,I.i - - -- - <br /> METER BOX CONCRETE _ SMALL LARGE _ _ � _ __ _ <br /> I - - - I � I-I-- - - <br /> � _ _ � �- -- <br /> I - <br /> r-- --�'-�-� -- <br /> � - - <br /> � ---- I-I I i- - <br /> � ON <br /> � DATEINSTALLED: I � OFF SUB TOTAL <br /> CODE � LAEOR AND EOUIPMENf RFNTAL � NOURS P��E <br /> �- �� <br /> �__I --_-_. _.'_-__._ _-. - _..---_' _-__.-__.__ __I_ __ - <br /> I I I <br /> �I L`S�' I-- — -- _-- -- <br /> � - ---��- �- -- �- - - <br /> i i - � - � - - - <br /> i ---- - - �- <br /> - --- - - --- ---- - --� --- ----�-- <br /> i � <br /> i_I I <br /> I TOTAL <br /> I REMARKS: <br /> I _—__ __—-. _-_.. .-__-_ -__-___ _-_ _ .._--_.. __ . . . __ . . _ _._.. <br />