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nrp�. /,�'� ?� APPLICATION FOR SERVICE SERVICE N� 3 5 LI <br />N� ` � ORDER <br />, CITY OF EVERETT V/ATER DEPT. " <br />/ 9�33 cJ /'� ' <br />� FIXED DAT _ __iB.�. <br />W. O. <br />�Y DEPOSIT s �Jr U n No. — <br />y' /� � �/n" <br />SERVIGE ter �ocaes6l {�/� �✓ --s-"�� ��--BLIC. LOi... D._ /' — <br />OWtVER _—._ _"CONTRAGYC�I�����'�-sz�- -�.�1cGY-t�-.e��.�� <br />� � � <br />INBTAL � METERED SERVICE_---- ^ - �� — <br />I HEREBY APPLY FOR THE USE OF W�7ER IN ACCORDANCE WITH 7HE �/� /;i�!�Yn `_ <br />ORDINANLES AND POLICIES OF THF. WATER CEPARTMENT NOW EXISfING � fA A ���,. <br />OR AS SAME MAY BE HEREAFTER CHANGED. s�cHEo: <br />MAT[RIU.e i�i IN. 11N. I <br />PIPE COPP'e R- GRLV. - STEEL ;� ��I <br />CORPORATIIiN <br />CURB COCK <br />SERVICE BOX <br />METER VA�_VE <br />ME�ER No./fa <br />METER BOX <br />OT <br />PLA.STIC -- C I <br />CONCRETE <br />nATE1N5TALLED: <br />CODE � <br />2EMARKS: <br />�ALty� LAFGE <br />Ja.�_<v. !. � <br />I � ON <br />_'� � OFF <br />� (; f <br />LABOR AND EOUIPMEN� RENTAL <br />r.. .� ! '� <br />� <br />% <br />PRICE II AlAOUNT <br />SUB TOTAL <br />HOUq? � RAT[ <br />TO'fAL <br />Q <br />5/ 17/ <br />r �e( . _ <br />L'� p <br />� L <br />� C ta-�./ l [ • \,_ —"__-- <br />l� <br />----------- --------- J �, <br />