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'�PP�,^.� • �7 CITY OF EVERETT ��RvicE <br /> ��o L� ./� ORDER NG. <br /> � APPUCATION FOR WAiER SERViCE �� <br /> DATE /`�'' � 19� <br /> ,� FIXED /J v � <br /> S �L'OO' O_ W.O. <br /> � DEPOSIT Na• ---- <br /> � — <br /> ���/5y /� 'i� Mn�� <br /> SERVICE (BVAOURE8B1-�' F� ��i�,i �./Rb� t%/Z___BLK.. LOT��ADD.VJ���-=� <br /> OWYER-�-I-M�I-��$OI� CONTRACTbR .------'--- -. <br /> ir A <br /> INSTALL�J�RED SERVICE_-. - n —/�/j [[T <br /> I HEREBY APPLY FOR THE ❑SE OF WATER IN ACCOROANCE WITH THE q // / /� ` �_L� <br /> ORDINANCES ANO PO4CIE5 OF THE WATER DEPAfiTMENT NOW E%ISTING etaneo: % -�C��'�--���-'- C i ?2��=� <br /> OR AS SAME MAY BE HEftEAFiER CHANGED. -� - <br /> MATERIALS bi IN.I 1 IN. � 21N. � I PRICE AMOUNT <br /> 1 � <br /> p�pg COPPER i GALV.--STEEL � __�,__ � <br /> CORPORATION I ' — <br /> CURB COCK OT � — <br /> SERVICE BOX PLASTIC �- C I � I � <br /> � -— <br /> METER VAWE _ _ -- — -- <br /> METER No. _--"___ ._ TYPE:_ _ _ _.. _I _ �� —_' __ --' — —' <br /> METER BOX CONCRETE SMALL LARGE � ___ _ - <br /> " ——_ - _ � I <br /> % X �S�o -�d o �/� .- f d r✓�c — — --�. �— - - <br /> I — �- - — <br /> _— — I —-� <br /> _. -- I <br /> — —— � � -- <br /> �N <br /> DATE INSTALLEO: I r pFF (/���`// SUB TOTAL <br /> //•/U"I7 -' -� <br /> L�BOR ANO EOUICMENf IENTIL ` ' HLUR9 RATE � <br /> !oUE � — <br /> � ---��"dP ���L�—" -- <br /> -- -- <br /> , <br /> —� �5. . c� N O � � - — _ <br /> -- - • — <br /> _� _—�' b ?��-' D/- — �`-��:i_ _i �— — <br /> � � �_��- - -- <br /> � -- - -- <br /> , --� -- -- --- --- - <br /> - -� -----------��--- - - <br /> — I — TOTAL i <br /> '—� -_ <br /> REMARKS: _-__---- , ' <br /> r <br /> w <br /> • <br /> � � <br />