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� <br /> NOP `���� CiTY OF EVERETT scRvice <br /> c?RDER NO. <br /> APPLICATION FOR INATER SER\ ICE <br /> / � <br /> � FIXEO DATEJ..�.S—___.-18��__ <br /> � o <br /> � DEPOSIT s �_ W. O. <br /> No._. _ <br /> SEfj�/�CE (BYAODHE96)—L—L._����(1fN'� ��• � .__pLK._ LOT � �_AOD�•✓SA+�' �� <br /> /1 � � � � Q� � t <br /> OWNER �+r�"l��y(M��!`t�_ CONTRACTOR_ —__.—_— <br /> ,�� LA <br /> INSTAIL__L.�— ERED SERb'10E--___..—_. _ .______________, _____ <br /> I HEREBY APPLY fOR 7HE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WA7ER DEPAR7MENT NOW E%ISTING <br /> OR AS S�ME MAY BE HEREAFTER CHANGED. BleNeo: X . .�G9 _ ..�Fj�L��.��'.____ <br /> MI�TERIALS I �4 fN.� 1 IN. � 2 IN. I i I PRICE AMOUNI� <br /> PIPE COPPER-- GALV.--STEEL . � I I <br /> CORPORATION _ _ _ r I� _ _ <br /> CURB COCK _OT _ I I I <br /> SERYICE BOX PLA�TIC -- C I I �— <br /> METER VALVE � <br /> ---.__—.___—_. __- _ —_.'__._ -- _ _�_' '__— — <br /> METER No. ___-- .__. . 7YPE: __— ___ _.I _'"_ —.—_ � I I i <br /> METER BOX CONGRETE SMALL LARGE I I _I� <br /> —_—_ _._—._—_-- .—__ _I—'._..__� <br /> --- -_ _ _ -�- -�- --�-!-- - <br /> � 1-� - -- - <br /> --��--�--�- - � <br /> - --i�-I-i=- <br /> i i�i - � <br /> � ON <br /> DpTE INSTALLED: (//t'� ��� I �� OFF SUB TOTAL <br /> i <br /> COOL" � LA�OR AND EOUIPMENf RENTAL � HOUfiS RPTE <br /> � ..r� <br /> I —_--_._--- �--- -----C-�=' ' �!-F_':.w�__�— I_ — <br /> '---- - - - " �:-�..�,, I y � - � <br /> -- � -Q-����5� --- ..; r_-� r ��-I � � _ -- <br /> ' � <br /> --= --------- .. --- --- - <br /> i I <br /> -- --- -- -- ---- --------- � <br /> - - -- - -- _ _ _ __ _ ---- ---_ - ---- --- --- <br /> __ I <br /> TOTAL <br /> REMARKS: <br /> � <br /> i <br />