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i <br /> i <br /> A; / ` / �„�(� Q SERVICE I, <br /> �--/� � CI.TY OF EVERETT .� ��7 <br /> ��/:� ORDER NO. <br /> N ��`� APPLICATION FUR WATER SERVICE /� _ � � /��/ v <br /> DATE(ff¢¢o�l��p� <br /> FIXED y <br /> � � W.O. <br /> � DEP051T� N�' � <br /> QQ p� LW � • `BLK.._—LOT-2_ � � <br /> SERVICE ur�oo u�� _ ��J . N� <br /> l// <br /> OWNE l� _CONTRACTOR <br /> 3 �� u 7 <br /> IN8TALL�-- ERED SERVIC '� <br /> I HEREBY APFLY FOR THE USE OF W�TER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTItiG e1cNEo:X <br /> OR AS SAME M�Y BE HERE�F7ER CHANGED. <br /> MATEHIALO 1G �N. 1 IN. 2 I ILE AMOUNT <br /> PIPE —' COPPER--GALV.-•STEEL 1— � - <br /> CORPORATION I —�� <br /> CURB COCK Ol' I I_ _ <br /> SERVICE BOX� PLASTIC -- C I I ' <br /> METER VALVE _. — <br /> METER No. _ TYPE: I fS _ _— - - <br /> METER BOX CONCF:ETE SMALL LARGE __ _I_---- — <br /> I <br /> I <br /> � <br /> _ --I_— � -- _ <br /> I� <br /> I � ON <br /> DATE INSTALLED: / � �/ <br /> � OFF SUB TOTAL <br /> t� � NOUR! R�TE <br /> C�p� I I.ABOP AND EOUIPMENf RENTA._� I <br /> —� G��r.Y��To�P --I <br /> I I-- — <br /> -t � ��� -o�____ � <br /> ; <br /> -� - - i <br /> � - <br /> -i - - <br /> � I TOTAL <br /> REMARKS: <br />