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r <br /> I <br /> � <br /> � <br /> i <br /> i <br /> i <br /> f <br /> � <br /> � <br /> NOPL ✓�� / � I r�TY OF EVERETT ORDERE N° 566 �I <br /> APPLICATION FOR WATER SERVICE <br /> � FIXED DATE_� 19� <br /> /� 1 <br /> � eEroeir s �(jCJ£ oo. <br /> 9�`"'� � �? ��I�r'U ��� <br /> 9ERViCE (�YwnD� •1 ' � � � BLK._ LOT�ADD. � <br /> OWNE � � ' ' _ � CONTRACTOR _ � <br /> FLAT� �� � /� i <br /> INSTAL `� ERED 9ERVIGE�C�-.yI-LJ_.L � : <br /> I HEREBY APPLY FOR TXE USE OF WATER IN ACCORDANCE WITH THE L E�(��9i(.L� 1✓lZ� i <br /> ORDINANCES ANO POLICIES OF THE WATER DEPARTMENT NOW EXISTING '�. <br /> OR AS SAME MAY BE HEflEAFTEN ChANGED. aicNeo: X .�'�"� � �� , <br /> 't�__— <br /> MATiR1AL� � IN. 1 IN. � 2 IN. � � PpICE AMOUNT I� <br /> PIPE COPPER--GALV.-•STEEL �� i <br /> CORPORATION � <br /> CURB COCK OT ; �_� � <br /> SERVICE BOX PLASTIC •- C I I <br /> METER VAWE � <br /> METER No. TYPE: I !S I�� <br /> METER BOX CONCRETE SMALL LARGE _I__ ! <br /> _——I —�_ <br /> __I �I—_I_ <br /> II <br /> I <br /> :..,..../ ( i ' —_ � <br /> DATE INSTALLED: ��1i _�•J I � OFF SUB TOTAL I <br /> COD[ I LA90R AND EQUIPMENfRENTAL MOUR9 RATE I <br /> � � " � — <br /> I � ', <br /> I I <br /> ; -- - �- -- i <br /> i -- ---- � ' <br /> I � ' <br /> I � <br /> TOTAL <br /> REMARKS: 27 y(.�y_ <br /> I <br /> � <br /> I <br />