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� �y � <br /> A :Ux <br /> C N <br /> 9HV� <br /> ixy <br /> Hz � <br /> K n <br /> H �1 <br /> o� xo <br /> x <br /> F� Q � <br /> OH <br /> ��g <br /> �Y � <br /> t" y� <br /> �y n SERVICE <br /> 0� �+ NOPL V^C�jQ�� CITY OF EVERETT ORDER N° 6383 <br /> C] t7 fA APPLICATION FOR WATER SERVICE $�� <br /> � `"� � FIXED DATE_SL�19� <br /> O V1 � DEP031T s � (�i _ W.O. <br /> -� i�_?'1J���'� <br /> F� �., <br /> $ERVICE (w wocRn )_.c1c-.11 BLK._--LOT ADD.—�� <br /> OWNE CONTRACTCR��� <br /> � I1 FLA �G ���� � <br /> INSTAL ERED SERVIC --- — <br /> I HEREBY APPLY FOR iHE USE OF WATER IN ACCONDANCE w1TH iHE <br /> ORDINANCES AND POLICIES OF THE WATEN DEPARTMENT NOW E%IST�NG ��J <br /> OR AS SAME MAY BE HEREAFTER CNANGED. •�cr�eo: X ._ l=__—. ___ '—__— <br /> —_ MATERIALB �IN. 1 IN. � 3 IN. I� AMOUNT <br /> p;,•-; COPPER•- GALV.--STEEL �_�� <br /> COitPORATION � _ <br /> CURB COCK OT I I <br /> SERVICE BO� PLASTIC -- C I I _ <br /> ' , METER VALVE _ ___ _ _ __ _ _ __ _ <br /> '�' METER No. __' TYPE: __I !4 _ _ <br /> '�' METER BOX CONCRETE SMALL _ LARGE ___I__ _ <br /> I �� <br /> �-� --�- -�-�- - <br /> � - --� �- <br /> I_I ; � � <br /> �c( �N <br /> ' / I uX SU8 TOTAL -- <br /> DATE INSTALLED: //— ,/� � OFF <br /> � � <br /> COOE I LABOR ANO EOl11PMEN�f fiENTAL MOURS RATE <br /> 1 � �� � -- <br /> 1_� i I _ <br /> i � -- <br /> � -i -- - - - --- _ <br /> - -1 ----�--- <br /> I <br /> TOTAL <br /> REMARKS: <br />