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APPL./���-J� Y I SERVICE I <br />No. a/ 'C CITY OF EVERETT ' � X ORDER o i <br />� FiXED APPUCATION FOR WATER SERVIyC�,�k'�/l„� ��� PI e��g���l <br />� � �onTe—�i� <br />-,��Z �9 I 7 ��� w. o. <br />r' OEPOSI? s �_Z_�_L �,��'lLJ,_ No.—_ -- ,', <br />ld- /�� �/' <br />SCRVI(:E (.YA%DPEiq—i1y=��'/�=-� �� � . _��.�----L-�=BLK._ -/LOT—Sr A�0�1�C�/"r+e.�'.`N <br />OWNER_��G��k�411�+--� CONTRACTOR__� j�'L� I <br />� � FLA % � r' � <br />INSTAL� I TERE� ERVIG — `� �� ����-- �i <br />I HEREBY APPLY FOR E-t15E�OF�W�I`f�ER IN l.CCOIiU�NCE WITH TNE <br />ORDINANCES ANO POLICIES OF SHE WATER DEP�RTMENI� NOW E%ISTING � <br />OR AS SAME MAY BE HEREAFTER CHANGED. slcyeo: X ----- ------ <br />PIPE �v�f�Il�. <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX <br />METER VALVE <br />METER No.'� <br />METER BOX 6CI <br />DATE INSTALLED: <br />COOE <br />REMARKS: <br />MATERIALS <br />PLASTlC -- :': � <br />���� Isia�►,l�� <br />ALL LARGE <br />� <br />T' r—%IY�,�/ l %� } � <br />V,X (7N <br />� ��FF <br />...�/,� � _ <br />LABOR ANO EQUIPMENf RENTAL <br />�i IN. � 1 IN. � 2 IN. <br />PpICE �I AMOUNT <br />SUB T7TAL <br />MOUR9 � R�TE <br />