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� T <br /> ) <br /> ����yJ � � SERVICE ' I <br /> NaPL' � ,�. �� 7 � �f CI"fY OF�EVERETT ORDER NO. ��' <br /> APPLICAiION f-OR WAl'ER SERVICE <br /> � FIXED 0 DATE_���L_-l-�19.� <br /> � <br /> 6� w. O. <br /> � DEPOSIT �Q _ No._- -- <br /> SERVICE � AODREBB) ���-I- �-Jy�.� ZL.J .C-� •��J ' • . 6LK._ LOT_/ `AC37T."' '"-___---'�"�1.cS" <br /> OWNE � " '..��. rsE-'--���7=._- "�-� /-•-�—CONTRACTOR— -/ <br /> / � N FL� <br /> INSTALL�S( TERED SERVICE-- - � � -�--- /--� --��-� '- <br /> I HEfiEBY APPLY FOR THE USE OF WA7L'R IN ACCOF7�AHCE WI�H THE ,,,/// (,y� � / '] <br /> ORDINANCES AND POLIUES nF THE WATLR DEPARTMENT NOW EXISTING �J] /�_J'� ��j��i� �ji�� .__ . <br /> OR AS SAME MAY BE HEREAF7ER CHA�IGED. eicr+eo: X .�f fs-i r�J- r�, ^s��� <br /> MATERIALS I }i IN. 1 IN. I 2 IN. I PRICE � AMOIINT <br /> �_� <br /> PIPE "_, . __.COPPER -_GALV._-STEEL _'_ _l___l_ I I^ <br /> CORPORATION I _I � _ , _ <br /> CURB COCK OT I I <br /> SERVICE BOX PLASTIC - C I I �I . <br /> METER VALVE I ____ _____ - -- <br /> METER Na. - . .�-�--_-TYPE: -������ -I `6 —�.f I--' _ _ <br /> I——" _-_— <br /> —.-..- ' _'---- -' __'_'.- _ '__' I <br /> METER BOX CONCRETE SMALL LARGE __I _ _ _ ___ I <br /> -.._._-___._—j ��i — <br /> - - - _i �-i--- - -- I <br /> ___ - � i , <br /> ----- --- i-� -�- - - I <br /> �- <br /> ------ I �--��;I �I <br /> -- I ❑ °N II <br /> DATE INS�P.LLED: _ ' .- � �� OFF SUB TOTAL <br /> CODE LA13OR AND EOUIJMENfRENTAL HOVftS RATE _ �, <br /> i <br /> ` _�> .C. II ' � _--. I <br /> � � —_- __ <br /> —_-__' ___ _" _. -. _. .._.__—_ - , <br /> �.L.� ti� <br /> -�,- ____ - ---��-�,.L,�__���- -- - -- <br /> -; ��-� " ` -� -�- --_� . <br /> � -- _ <br /> � - -- <br /> � ------ - - <br /> _ _ -� ---�i_ � <br /> --- <br /> � __-------- -- -- - <br /> -� -- - - -- - - <br /> , . 70�'!.L ��� <br /> REMARKS: ____--__-- <br /> �'�J <br /> � <br /> - J <br />