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��:ti�'CL l�,(�'�LIL1�� S�/�C��l� <br /> ��P�. ��J�c� CITY OF EVERETT oROER� N° 6952 ' <br /> �o. APPLICATION FOR WATER SERVICE <br /> DATE.— —�0�� <br /> � FIXED � <br /> W.O. <br /> "'`\ � DEPOSIT i /� No. <br /> ' „ ,L � "7� ' , � 1 <br /> i BLK.. LOT— ADD. <br /> SERVICE c�r�o�� l �y,}. <br /> � � GONTRACTOR � � <br /> OWNE ` ''7 <br /> �/,� �FLA --I� IG -� � _ ' <br /> INSTALL��—METEREO SERVIGE '���— <br /> 1 HEREBY APPLY FOR THE USE OF WATER IN �CCORD�NCE W��H TI.E <br /> ORD SASAME MAY BEL�MERE F7ER CHANGEDDEPARTMEN7 NOW EXIS7ING sicHco:M �-- <br /> MATERI�LS w IN. 1 IN. � 3 � � PRICE �MOUNT <br /> P�pE COPPER••GALV._•STEEL �_ <br /> CORPORATION — —�I " <br /> CURB COCK �T — —� I� — <br /> SERVICE BOX PLASTIC •• C 1 I �— - � <br /> METER VAWE ______ .___ .�__ — -- <br /> METER No. TVPE: ___ _ '4 _ ____ _—__— - <br /> METER BUX CONCRETE SMALL LARGE ____I_._ _ <br /> —. — � —I_!- — <br /> __I iI <br /> — —I �1- <br /> _'—_' I �--I— --' <br /> I I <br /> �^ I ON <br /> V � OFF SUB TOTAL <br /> OATE INSTALL=D: ` L��' � <br /> I L�BOR AND EOUIPMLN!RENiAI HOURS RI,*E <br /> GOD[ I <br /> �! , o, ---� - — <br /> � -- <br /> --i — --- — —�-- -- <br /> — I <br /> '� --- -- ---- I_-- <br /> I ----�-- <br /> — I TOTAL <br /> REMARKS: �`�.J � _ <br />