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����' p2 G� oZ �� � CITY OF EVERETT gERVICE � I <br /> No. ORDER NO. -� � �� � <br /> APPLICATION FOR WATER SERVICE p /� <br /> � FIXED // <br /> DAT� �//N/ �-1�M <br /> jl�j DEWs1T S 1 /�,,,��I No� V --__ <br /> r \ r-^ <br /> �d�Z��d��-�"�-- (�n S aK� <br /> 9ERVICE (�Y ADo11[e.cl BLK._ L07_ ? ADD�,� <br /> /�� � ^�/ ��.�r. <br /> OWNE 1�QCt�j�� CONTRACTOR_���— <br /> �( FLAT 7 <br /> INSTAL ED SERVICE <br /> I MENEBY APPLY FOR TNE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES ANU POLICIES OF THE W�TER DEPARTMENT NOW E%ISTING <br /> OR AS SAME M�Y BE HEREAF7ER CHANGED. e�cNco: —�.� — — — <br /> M�TERIALS 3G IN. � IN. I 2 IN• I � PRICE 4MOUl�_ <br /> PIPE COPPER-- GALV.--STEEL <br /> CORPORATION _ �� <br /> CURB GOCK OT I <br /> SERVICE BOX PLASTIC •• C 1 I <br /> METER VALVE _ <br /> METER NO. _ TYPE: _ I )6__ _ __ __ _ _ <br /> METER BOX CONCRETE SMALL LARGE <br /> _ __� — _— <br /> _ --I �—i— <br /> _ -- —_I _ �_ ' <br /> I I <br /> UATE INSTALLED: f Q��iVL I � OFF <br /> SUB TOTAL <br /> [ dD <br /> COD[ I LABOR ANO E�I.�JMENf RENTAL I HOt1R5 RATE <br /> i _ _ L.�V��1 ����_--i <br /> � C��,�L��a� i— -- _ <br /> i -- i <br /> � - --- - - <br /> I <br /> TOTAL <br /> REMARKS: <br />