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I <br /> �I <br /> � <br /> I <br /> 5e.i! ta �o�l,w�� s/�o/�r <br /> �P��. CITY OF EVERETT BERVICE Na 6751 <br /> � .,... No. p2'7�� qppLICATION FOR WATER SERVICE OROER <br /> DATE—,��--10.lst- <br /> � � FIXED <br /> � W.O. <br /> -L, oeroa�r s 7,5'O Na.__ - <br /> y� 9ERVICE f� DD11u�1—.��/�,�� ,� ,�� �~' BLK.. LOT_ ADD.-- <br /> OWNE ��- �� - — CONTRACTOR <br /> I� F�TERED SERVICE - - <br /> INSTALL__.�__ --- <br /> I HEREBY APPLY FOR THE USE OF WA7ER IN ACCORDIINCE WI7H THE I_ '� <br /> ORDINANCES 11ND POLICIES OF THE W�TER DEPARTMENT NOW EXISTING fJ�- <br /> OR AS SAME MI1Y BE HEREAFTER CHANGEU. •Icr+Eo: % �f=�� -- ---�-- --- <br /> MATERIAL{ K IN. 1 IN. � 3 IN. i � PRICE AMOUNT <br /> �'I E� .�J60C C7 y� C�PPER--GALV.••STEEL__ �Y J� _�_ _ _ , <br /> COR R�AT�O—N .3 L-L'D �� � . - — ' —I �-- . . <br /> � I <br /> CURB COCK OT _ _ �, <br /> SERVICE BOX PLASTIC - C I I __ I_ - <br /> — _-- i <br /> METER VALVE _ —_ -- --- --- -- -- .. <br /> _—_.__. __-__- .___ - -I - . _. <br /> �ME��GS%SlY�7 TYPE: I .�S-- -__ - _— _._. -_ <br /> '�r ___ __— i <br /> METE BO%j ��.ci; � [ � ___ 5...� ♦unc _-.__�— _-- _ <br /> �LOC /G�/7 / I _� I- - - <br /> An,�� -rotrac�u�tv --- — Li—�— -- - — <br /> {tn4 P 'i r,v �-YY 7 --`{— — <br /> ..}j�pQ y7�c/7vY� W��� be taken on service _ / I__ i_. _ ___ — I <br /> applicat nnsivittalrt�a � I I I i <br /> SFiT3c.v� :is'`a�6kAr�w-Rreveniia�Gonrailt�tion --I ---{—{- -— --- � <br /> --SE-L--lNs11��----- _I_I — <br /> -- � � I � <br /> `' -__,/ ❑ o" �� <br /> DATE INSTALLED: I (�OFF SUB TOTAL <br /> CODE I LABOP ANDEOUIPMENfPENTAL MOURS RATE <br /> C � 7 S� e�_ - - — _ %(�'�--I--- -- <br /> � ��G��, � — — - <br /> I — -- 1r 3� ( — ---- — <br /> -- _ ----�1��- I __ --- — —_ <br /> — --- ---1— -- — - <br /> �I ---- --- ---- I <br /> — TOTAL <br /> REMARKS: _'_ _--_____--_-__--_--__-�_ <br /> � <br /> il <br /> � <br />