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-, <br /> . , <br /> ' NOPL �`3 ��� CITY OF EVERETT ORDERE NO. '�; _�_ � ) <br /> APPLICATION FOR WATER SERVICE v <br /> � FIXED DATE� —1q�`3 <br /> � <br /> � DEPO3IT s S Q ,/S� � No�• _ <br /> —?� ✓ <br /> SERVICE �eY�wDDlfEes �'�-�L�" BLK._� LOT_.�Ca���---t�'y�'�� <br /> OWNE�" '���Y�"N��Ci`�CONTRACTOR _ _ _ <br /> � '/ � <br /> INSTALL ETErxeo sFwvlcE _ ._. .__ ���� � <br /> 1 HENEBY APPLY FOP THE USE OF WATEN IN ACCORDANCE WITH THE <br /> ORDINANCES ANO POLII:�ES OF THE WAT(R DFPl.P.TMENT NOW E%ISTING � (� <br /> OR AS SAME MAY BE HEFEAFTER CMANGED. e�cNco: X �L�I�.4.h._\S_����� <br /> MATERIRLS � IH.�� 2 IN. ', I PRICE AMOUYT <br /> PIPE � (A,� �� COPPER-- GALV.--STEEL � <br /> CORPORATION N�SDOS I I I <br /> CURB COCK OT I <br /> SERVICE BOX PI.ASTIC -- C I I <br /> METER VALVE 'C V� �3 _ �} � _____ _ <br /> METER ND. ���9__ !J!`dSS TVPE: �rp-1��+�! I >4 � <br /> METER BOX CONCRETE �'t"iGSMALL LARGE __/ _�_ _ <br /> � 3 I -- 4� I <br /> � io w��Cs_�L�1�-- -��i _ — <br /> sm � ��.x��_s��..K —� !I— — <br /> ----i ��l— <br /> -- --- I I I�i� <br /> ( ON <br /> DATE INSTALLEU: � ,�'7 4, �C7 Z OFF SUB TOTAL <br /> // U1 <br /> CODE I LABOR ANO EOUIPMENfPENTAL - I:U'lIlp5 RqTE <br /> 5 �-�L=I L LI 1� <br /> II .MO �� �� - - -- <br /> � M�l�S�,?I/ / �� �� -- <br /> _;�'��' �3—��So3"I 8 '� — — <br /> — --- #b�°5-��— <br /> II c�C- �.a: �=- c' � S�f.i� lJ.crl_; , -� — -- <br /> TOTAL <br /> REMARKS: '� <br />