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..._..; , _ . . � � __ . =- ��__ � <br /> __r <br /> 'i <br /> NoPL � � � �� CITY OF EVERETT oROER` N° e � O J <br /> APPLICATION FGR WATER SERVICE <br /> � FIXED O�TO �IISlINt7 Z / DATE__ ! ':7_�_____�g� L <br /> - � DEPOSIT s�YI S � 1-I I����/ W.O. — <br /> i� No.— <br /> SERVICE (eY oncsq �?� — L�/� `� BLK._ L0T2L�ADDj-��-�� <br /> OWNER—,��j-�2-�^-'-� ��Y`��—T�,-%���• CONTRACTOR_ _ <br /> INSTALL�-/ ys�.ME7ERED SE�E��—_ —__ _ __ _ ___ _ __ <br /> I HEREBY APF�.'! FOR�TRE-�I15E OF WA7ER IN ACCOFDANCE WITH 7HE � <br /> ORDINANCES `-�.1 POLICIES OF TNE WATEfl DEPARTMENT NOW E%ISTING <br /> OR AS SAME Y BE HEREAFTER CHANGED. e�cneo: % _ ..___�_ _ _ __ ___ , _ __ <br /> M/�TERIALS �' IN. 1 IN. � 2 IN. � I f PHICE �� AMOUNT <br /> PIPE _ COPPER -- GALV.-- STEEL I � <br /> --I <br /> CORPORATION —� � i <br /> _ _ --� <br /> CURB COCK OT __I I I <br /> SERYICE BCX PLAS7IC -• C I I <br /> — _ _ � _� —. <br /> METER VALVE <br /> _.. .--_ . —__—__ _._ _ .—__—_ —___—. _—_— <br /> c/ /� T ___.__— —_. __'— <br /> METER No. g�Op _. . ._ TYPE:.�/f�/YN_P.I �—. _--J--. __.__—__ _ __.—_ <br /> METER BOX CONCRETE SMALL LARGE I I <br /> . ------ -- --� i -_i-� _- --- i <br /> - -- -� , - - - <br /> --� -;, - <br /> - -i - - <br /> - --- -� --- - <br /> - -�-�---i- ;-,-- -- - <br /> I � ON <br /> DATE INS7ALLED: � OFF SUB TOTAL <br /> CODE 'i L�BOR AND F.OUIP1nENf RENT�L I HOl1RS HATE <br /> - � �/�/J O �/ _ � <br /> � I - ----- ------ -- ------ — <br /> � —ro�- ACTION I <br /> — — —Wtn-ba �k� o'�'- �--- ---- <br /> --i ---�-a►��t�,,,�ow��—i — — <br /> ---- — -- �1�3raeitti4n.: on�__su�tat�an � <br /> I <br /> I �— <br /> TOTAL <br /> REMARKS: �Y���_12/-� —_ — ' <br /> � _ _ — _ <br />