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r <br /> NOPL ?��f�(�' CITY OF EVERETT ORDERE N° A � 3 J <br /> APPLICATION FOR WATER SERVICE �_ �J� Q� <br /> ❑ ED s l�5"_ �: ��S71NG 7J�� 7� / ! �7/ N�TE -_L—.1 1G— <br /> DEr061T ��� n• <br /> SERVICE f�Y woDeqq /D/� / - ��1���✓i�/l-'� �� BLK._ LOT/�_AD�„�� <br /> OWNE�+ "CJIl��J -� ��/��I:y�/I/ GONTRACTOR <br /> FL�T�-� <br /> INSTAL� �7� EWkT RED 'i+'dVIGE — _ <br /> I HEREBY APPLY FOR THE L'SE OF WATER IN A�CORUANCE WITH THE <br /> ORDINANCES ANO PCLICIES OF THE WA7ER DEPARTNENT NOW EXISTING <br /> OR AS SAME MAY BE HENEAFTER CHANGED. emr+eo: X __.________ __. <br /> MATERIALi �/ IN. 1 IN. � 2 IN. � I PRICE AMOUNT <br /> PIPE COPPER•- GALV.-- STEEL I <br /> I�_ � <br /> CORPORATION —� I <br /> CURB COCK OT j I� <br /> SERVICE BOX PLASTIC -- C I I ��— <br /> METER VAWE _ _ � _ __ <br /> METER NO. ,l G J O b__ _. TYPE: /tn��L^CL'.I__�"__� _ I i_____ — — __— <br /> I"_� <br /> METER BOX CONCRETE SMA�L LARGE I <br /> — —___ .--I-_I �_I— _ <br /> � �— <br /> — — I �—I-- '_ '— <br /> I— J_I— <br /> I I I <br /> Ra ON <br /> DATEINSTALLED: �^� �J-I-� � OFF SUBTOTAL <br /> COD! � LABOq AND EOUIPMEN�fRENT�L MOURS R�TE <br /> I /,�2/�2 <br /> � -- - --� - <br /> i I <br /> , — ��;C� FLU{;J � -- �-- -- <br /> 'ti!-'•��.;.r-� <br /> --- .,�':i�;��•� ---^ r,8r,-- <br /> � I;�tiUN CO'; ' c-;:� I <br /> i yii AIS - -- —�— <br /> -_.,.___ <br /> � TOTAL <br /> REMARKS: ✓JA�/�� ' �r-/�U� _ _ <br /> fI`f.� J <br /> 0 <br /> � � cn � �- a o m ro � � m a �t <br /> �rr. m �'nr� �n i- m r- r � <br />