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r � <br />Nq L c� [p ��O SERVICE <br />CITY OF EVERETT n :�ry <br />� APPLICATION FOR WATER SERVICE OP.DER NO. �: .i v O <br />1-j FIXeD �7� ��r�/ DATE �g� <br />iY DI:POSITs /�,/�i� W.O. -- <br />w� u.L No.--_� <br />SERVICi: �a�ooquq���S" �%�� /y�i� ,�/'- _BLK._ LOT_pc-.J—qDON�_i��� <br />. � <br />^������- " METLRED SERVICE_ <br />I NEREBY APPLY FOR THE 11:.E OF WA'ER IN ACCOHPANCE WI7H THE <br />ORDINANCES AND POLICIES OF THE W�:iER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CF;eNGED, eicHeo: X_ <br />MATERIALS j� IN. 1 IN. i 2 II. <br />PIPE COPPER -- GALV. - STEEL ��I <br />CORPORATION <br />CURq COCK <br />SER'�ICE BOX <br />ME7ER VAWE <br />METER No. <br />METER BOx <br />OT <br />PLASTIC -• C I <br />CONCRETE <br />OATE INSTALLED: ui'�S <br />COO6 � <br />REMARKS: <br />TYPE: I �q <br />SMALL LARGE <br />I fV ON <br />�/ �/� <br />,4 � OFF <br />LABOR AND EOU�PMENfRENTAL <br />L <br />II <br />PRICE �� AMOUNT <br />I <br />SUB TOTAL <br />MOUfiS' RAiE <br />TOTAL <br />