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APP�" ����� CITY OF EVERETT seavice � ; � .� <br /> No. ORDER NO. � � � - , <br /> APPLICATION FOl7 l"JATER SERVICE p�+� <br /> � FIXED DATE�L =���-18-a�C <br /> % <br /> � W.O. <br /> � DEPOSIT � ��) _ No._ -'— <br /> =f�= <br /> SERVICE (ar Aoo/ >�/Jry(-'�+� �" —BLI<..__LOT_/�����— <br /> UWNER��4_�(l�xE -,�'.•s_-•�tj_----C NTfiACTOR _ '_ __-__._- -"-� -_ <br /> Sfi �� FL � <br /> INSTALI1f� TERED SERVICE-._.___ - ---- - --- -- <br /> / i 7 /. <br /> I HEPEtlY .1PPLY FOR THE USE OF WATER IN FCCONDANCE WITH THE � � / <br /> ORDINANCF.S ANC POLICIES OF TME WATER OEI'AftTMENT NOW E%ISTING . <br /> _4�" __ <br /> OR AS SAME MAY BE HEHEAFTER CHANGED. s��NEo:�X- ���CL( _: � _. . _ _ ____ <br /> MATERIALS � IN. 1 IN• � 2 IN• �1� PA�CE AMOUNT <br /> PIPE _. COPPER--GALV.--STEEL_ _ —1— _ ___ <br /> CORPORATION _ _ _ _ I � —I ,__ <br /> CURB COCK OT I I . _ <br /> SERVICE BOX PLASTIC -- G 1 I _ _. <br /> METER VAWE _ __ __ __._ __-_ __ - <br /> METFR No. ----�� TYPE: I 5f J__ ____ ___ <br /> METER BOX CONCRETE SMALL LARGE � _ _ _ <br /> — __'_____ __'I _ —�I-_ _. .. <br /> __ _-_'_ _ �_ __ <br /> _—I _JI— ' _' ' <br /> —I J— ___ — <br /> -- -- __ l I -_'_ - '_. <br /> - _—__.__—_ --_ _'--_. _ __ '— I �-I _ --_' _ _- <br /> ON <br /> OA7E INSTALLED: �-�-� � (�- OFF <br /> SUB TOTAL <br /> CODE � LAOORANDEOUIPMENlPLNTAL I MJURS RATC � <br /> � S. .TC,x � �_ <br /> i - -- ---- --�:�411e,.;I_1_j — <br /> --�'��/ / �, -- - <br /> _ - - - -�3 6/ <br /> -� � <br /> ��- -- - --- — — - <br /> - - - � - <br /> —-'!, -- -- _- - - _ - {---- -- - <br /> TOTAL <br /> REMARKS: _ ._____�_ <br />