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� Pn i" �2 �: :.7��,.+i.� S -1 S -N� . <br /> APPL. SERVICE � - <br /> No. •� �'��� CITY OF EVERETT ORD�R rv° Bcrl[7 <br /> • APPLICATION FUA WATEFt SERVICE / � j <br /> � FIXED OATE—_f_L,'�LL18.� <br /> � DEPOBIT s � � �,Wj' O. <br /> , /�-��C _��� ���,� <br /> SERVICE (,�Y Dn�[�s> �l I HLK._ LOT_—ADD. .-- �� <br /> OWNER�L1'_i � �/� � �f 7�^� CONTRAGTOR --__— I <br /> � L �� FLAT ��— I <br /> INSTAL METERED SERVIGG — — <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WI7H THE � <br /> OROINANCES AND POLICIES OF THE WATER DEPARiMENT NOW E%ISTING ' <br /> OR AS SAME MAY BE HEREAFTER CHANGED. e�cNeo: X ._ _ � _ �-_. . <br /> MAiEN1AL6 °/ IN. I IN. � 2 IN. � I PNICE AMUUNT <br /> i <br /> plpE v ���ZS �� GOPPER •• GALV.•-STEEL � �_ <br /> �__ _ <br /> CORPORATION/��'�'3.yD�Z�y _ __ _�� _ � <br /> a — <br /> cuRa cocK or G,,��� 7 yi��g�- ��� _ _I I �_ <br /> , <br /> SER'✓ICE BOX PLASTIC -- C 1 ��Du� �_I _ _ _ <br /> METER VALVE <br /> METER No. TYPE: � ��—� I ^S — --'--� �— - - —� --�— <br /> — . __—___—_— ——__I_—_— _— <br /> METER BOX CONCRETE _ MALL LARGE �)( �4�y _ <br /> _— _�— <br /> L� <br /> 3 �` � -- � � <br /> � �o��fLi�nd�c. �y? -1 � I_ ' <br /> � <br /> > __�� �_ _ <br /> � � -� <br /> ' � ON <br /> DATE INSTALLED:� O l' I � OFF SUB TOTAL <br /> O <br /> COOE � LABOR AND EOUIPMENTPENTAt NOUPS p�TE <br /> �I � ,/ — /r�(�'[�l'Z'_�� i <br /> I S�IY:: t��� I� _ <br /> � ---- =�3 `/ ��- --- <br /> . _, j o, I <br /> � ------------ I - <br /> I - <br /> � <br /> TOTAL <br /> REMARKS: <br />