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pJpPL �` 9 % `J CITY Or EVERETT ORDHR E NO �' � .� �, <br /> APPLICATION FOR WATER SERVICE / q�i <br /> � FIXED pq — - J��_-190s <br /> 0� � <br /> � oEPosir s Q �' :v. o. <br /> No. _ <br /> � � 7� �Y/J /' ��/I��;� 7�a� <br /> SERVICE fB�Y'i DORE88)��� �`^" ��' �" ' �- BLK._ LOT�ADDf��C� <br /> OWNE / ]:L� CONTRACTOR — <br /> INSTALL=,L�— ETERED SERVICE _ <br /> i <br /> I HEREBY APP Y FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> OR�INANCES AN� 1'OLICIES OF THE WATER OEPARTMENT NOW E%ISTING � <br /> OR AS SAME MAY BE HEREAFTER CHANGED. slcr+eo: X <br /> MMER:ALS $ IN.� 1 IN. � 2 IN. j � PRICE I AMOUNT <br /> PIPE COPPER-- GALV.--STEEL � I <br /> CORPORATION I <br /> _ _ _ I _ __ <br /> CURB COCK OT � <br /> SERVICE BOX PLASTIC -- C I I <br /> METER VALVE <br /> METER No. TYPE: I !S <br /> METER BOX CONCRE7E SMALL LARGE <br /> I � <br /> _ I � <br /> -_I=I _ <br /> _ I � ____ <br /> �/ -�I I I <br /> DATE INSTALLED: n /t t,rJ! I �'nFp SUB TOTAL <br /> � � JI Oti <br /> COOE � IA�OR AND EOUIPMEN'f RENTAL I HOURS RM'E � <br /> � _ CJ�,a'(,�G�_ � — <br /> � <br /> - -! �--���-�---- i- -- <br /> � i <br /> � i <br /> ; _ �-_ <br /> ' TOTAL <br /> RtMARKS: <br />