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NOPL - ����'{/ CITY OF EVERETT ORDERE N° G4'I9 <br /> - APPLICATION POR WATER SERVICE ��� '� <br /> pf FI%ED G DATE_ <br /> /,- ��c�J``� <br /> � DEPOSIT s l No�_ <br /> � � ���� ��� � /y� <br /> I <br /> SERVIGE I� oonusl � BLK._ LOT� ADD. — <br /> OWNE CONTRAGTOR ��-�EJ � ti i <br /> �� LA <br /> INSTAL RED SERVICE_—_—. - — <br /> I HEREBY APPLY FOR THE :'SE OF WATER IN ACCOROANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING <br /> OR AS S�ME MAY BE HEREAFTER CHANGEO, elcHEo: % .� _�����tQAL� <br /> M4TERIAL6 � IN. 1 IN � 2 IN. I ( ppICE AMOUNT <br /> PIPE �l��/ COPPER-•GALV.•-STEEL � _ <br /> GORP 3�oor8�7 � i <br /> ��Ra ��RS�� I � <br /> SERVICE BOX PLASTIC -- C I I <br /> METER VALVE <br /> METER No. � r7 TYPE _I �f_ <br /> METER BOX "'—ZONC�RETE�� SMALL LARGE r I <br /> da. 340�0 3� 3 � � —�_— <br /> 3�foo 7J{� I --�- —I— — <br /> po 34 �_I <br /> _�a .,l.,l �f 20!S��t�_-- �—i �— <br /> -- -- -- - � -i , <br /> DATE INSTALLED: <br /> 3'��I � ( O I 1N JFF SUB 70TA�. <br /> Pl <br /> COOE � LABOR ANO EOUIP,aENfRENTAL HOUPS RATE <br /> � Q — —,?.f�_ Z <br /> I [',fa�Ke � 2 � <br /> � — ���Z --- — <br /> � _ __ 3.�5 I� <br /> — � — I _ _ — <br /> –� � _ — <br /> I <br /> TOTAL <br /> REMARKS: <br /> _ ...,�y,��.� _ . _ . _ . . <br /> �� <br /> I <br />