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, <br /> APPL��S�T � / I <br /> No, � CITY OF.EVERETT sERVICE � -� ;? <br /> APPLICATION FOR WATER SEFVICE ORCER NO, . � .:.. �, ,:i <br /> � FIXED p� C7 <br /> G� DAT�_/Q _19�L <br /> � DEPOSIT s �� _ � <br /> W. O. <br /> No. ���" <br /> SERVICE (eV AOORE88) �-� � .� , ��,� ,.s�v <br /> ��� � BLK._ LOT �� Aa3Ge�d <br /> OWNE� _--- �-Z <br /> p CON7RACTOR_ <br /> �N5TA1. METERED SE:RV�CE— ._ <br /> 1 HEREBY AFPLY FOR THE USE OF WAiER IN ACCORDANCE tVITH TIIE <br /> ORDINANCES AND POLICIES OF TNE WA'fER DEPARTMEN7 NOW EXISTING �eA r <br /> OR AS SAME MAY BE HEFEAFTER CHANGED. eicr�Eo: X .. _�'�CL_� <br /> � MATERIAlS $ IN. I IN. �=-, I � <br /> � PRICE AMOUNT <br /> �'�PE GOPPER-- GALV.--STEEL � —I � <br /> COkPORATION i-- <br /> CURB COCK OT i -i -- <br /> SERVICE BOX PLASTIC -_C I I '— <br /> ME7ER VALVE I— . <br /> METER No. _�__— TVPE:___I_F --- ------ - — . <br /> METER BOX CONCRETE SMALL LARGE <br /> -- --_—i-_.I — <br /> - I I�� <br /> ___ � — <br /> __–' — — I <br /> _ I _ <br /> < � /� I I <br /> DATE INSTALLED: J � � �ry� I � ON <br /> 1 f1 OFF SUB TOTAL <br /> CODE I LABOR AND EOUIPMENf RENiAI. <br /> �-I � MOUH9 RATE <br /> I — �it' <<-�+--t��I � <br /> -I R � � , <br /> �� <br /> --i- _ ---�����/ � /,_ �-I r _ - <br /> -I -- ----------__----� - _ <br /> _ � - ---�- - <br /> REMARKS: 70TAL <br /> 1 , <br /> +v <br />