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' 'i <br />� <br />_a��. a� a a � <br />� FIXED <br />�DErpsiT, ya� <br />SERVICE (sr <br />A <br />Sc�til" � 2 GNfs: ri,.�o S•/z ��B 6 <br />CITY OF EVERETT <br />APPLICATION FOR WATEfl SERVICE <br />c%�%'��/ �'lf•F' �iiT'A�NF_ni> <br />� <br />�� �f -� n� 4.,_ �? F' <br />SERVICE l p'7 <br />ORDER NO r; .1 O I <br />DATE�7f_��__�� i <br />W. O. / <br />No. ____ <br />-�]�ADD. � <br />I <br />I NERElY APPLY FOR THE USE OF WA7ER IN ACCORDAHCE WITH THE � � <br />ORDINANCES AND POLICIES OF THE WATER DEPARTME4T NOW E%ISTING <br />OR AS SAME Ml1Y BE HEREAFTiR CHANGE�. oicNeo:X_-- —_�� ��i <br />MATERIALO �}'j IN. I 1 IN. � 3 IN. I I I I Pp��E � AMOUNT lI <br />r�r�E ���o f�` COPPER -• GALV. •- STEEL <br />CORPORATION y�•�fOO.S <br />CURB COCK OT <br />SERVICE BOX .�_ C � — — <br />METER VAWE �`/�3��� <br />METER No. j�� TYPE: �jf'��,f/J�Y I'� <br />METER BOX GONCRETEPl�I� SMAL LARGE <br />i1//r %r' /2 6LLG L . �/- �? s <br />I TR( ON <br />DATE INSTALLED: L' �'L 3 ��� ��� OFF <br />COOE � LABOp ANOEqUiPMEN'�RENTAL <br />I _�v �� i 4� / <br />� _�i,�C. �� <br />� �iS�.l.�- <br />� � � ' <br />i.�. / �b�_Jy.�v � . <br />l� <br />.� i n <br />REMARKS: <br />SUB TOTAL <br />HOURB � RATE <br />TOTAL <br />r� ■ <br />