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20 8r�8 <br />NOP�• G`��� " APpLiCAT10N iOR SERVICE <br />� CITY OF EVERETT WATEfc DEPT. <br />Q�FIXED <br />i a�-: <br />� DEPOeIT s �...�. � � <br />/ � <br />'ERVIClI�YADD11F1�) =' 3`-'? /�'-'C��'c`%-' BLK. LOT. <br />OWNER_7_ �/ .�_.v%�I.��"�`i'LCS__ CONTRACTOR <br />�/ -�► <br />INBTAL } MET[R[D EERVICE _. . <br />I HEREBY APPLY FON THE USE OF WATER <br />ORDINANCES AND POLICIES OF THE WATER <br />OR AS 5AME MAY BE HEREAFTER CN�NGED. <br />PIPE <br />CORPORATION <br />CURB GOGK OT <br />SERVICE BO% <br />METER VAL�'E <br />_METER No. ���� <br />ME7ER BOJ( Cpl <br />IN ACCORDANCE W179 THE <br />DfPAPTMENT NOW ElISTING <br />BIGNEO: <br />MAT[111AL1 I w�N. I i IN�I <br />COPPER - GALV. - STEEL <br />PLASTIC -• C I <br />� <br />� TYPE: ��— _�� � � <br />�l� 9M LL_ LARGE I <br />S�? ' 6 Oj_ 1' �',��. _� <br />[ �'ro �� c_ . V. �. �nh�2 <br />8EFVICEx� z,s5 <br />ORDEq <br />DATE_ �_�'__ � 7 _ 18�� _ <br />W. O. <br />/a-rd G'71jG--- - <br />PNICE � IIMOUNT <br />��� <br />�-ON <br />DATE INSTALLEO: � pFF SUB TOTAL j5 � <br />COOE I LABOp ANO [pU1PMENl RENTAL NOl1ftG RATL <br />IS/�/-lA'�---- -__.. .. __. _-- -____-_--.__-_-'_ I <br />� <br />-_-_ -____._- , � <br />-��-2w�f'� — — � � , — - — <br />--�-� � �------ -. � ;'% 2P aa <br />_ -- -- <br />� � }? _ �� oa <br />---�.�3_`'., _�l -. —_-- _ .-- -- --- -_ L �i.,r � _ "-- — —� o� <br />REMARKS: <br />— -- I �? �/ (�� <br />"--" - TOTAL II/ /(/� <br />