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�PP�%�'f��� CITY OF EVERETT SERVICE ^(�;-: I <br />No. ORDER N ,. ., .� •• <br />APPLICiaTION FOR WATER SGRVICE //�� p/ <br />G FIXED �0 DA76/__ -� - .18_Q- <br />l <br />� DEPOSIT s �%6___ _ No�-____- - _-- <br />� ,� / / /. <br />SERVICE ce/r���oonc�ee� .t76 !-�'�- � � � =_BLK._4Q�1� L0,�//.977-/3�7��-�-�/� <br />OWNER-/-..G-��. ,(p.-• _____--.---. __-__-CONTRAGT�.r���'��Y-��/� <br />// <br />INSTAL�_Z METERED SERVIC _.--_. - - _- - ------------ - <br />I HEREBY APPIY FOR THE 115E OF WATEfi 14 ACCORDANCE WITH THE //� <br />OROINANCES AND POLICIES OF THE WATER OEi'AflTMENT NOW E%ISTING /1//� '�_ �// � <br />OR AS SAME MAY BE NEflEAFTER CHANGED. Bl�r+eo:X C,i� � --- --- --- - <br />MATENIAL9 � IN. 1 IN. � 2 IN. � , I � PRICE ;� AMOUNT <br />IPE COPPER -- GALV. -- STEEL , <br />_ CORPORATION , r 6�OV ___ -� <br />CURB COCK OT I <br />SERVICE BOX PLASTIC -� C 1 I <br />- ___ _ . . _/ - _ <br />METfR VALVE . . � u -�7. � � � ��"� - -�� __ _' _l_ <br />MEfER No_�j-! �. V�A.S � LTYPE_ I�e/'�e I," ___. I�� <br />METER BOXI GONCRET �/�jS1�L SMALL ARGE '� _ .I__� <br />--���serv+cc-Saacu2wfZ" aP.37y�-�%55�--�� I <br />_C �- �-�7-- -- _ _ ----- ' <br />7_7_.__ _ _ -- -�- � �- <br />T.cn,,.% �G � � i� <br />���VutS <br />F ,� - <br />r� <br />� CN <br />DATE INSTALLED: I D �. ', ��/ pFF SUB TOTAL <br />CODE I LABOp ANDEOUIPMENfRENTAL MOUPS RATE <br />I --� �� I_ / /J_��7 -- <br />--, - ---- n ,� , � ,� <br />-i -- �-z_!/ i 7 '�- _- <br />- �1� _a�_-_k..�erec%�� J.—�'. <br />I <br />---� _ — /� � � - <br />TOTAL <br />REMARKS: <br />