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'�'PPL' ��{1 � 7 V CITY OF EVERETT ORDERE o <br /> ��� APPLICATION FOR WATER S[RVICE ��_� /� 533� <br /> � DATE--J—�-�� e2�19 <br /> � FIXED <br /> � W. O. <br /> � DEPOf,IT s ��_ No. <br /> SERVICE (eY wocPeee)11J1L��' 7 �-1-(� �`� '��� J� BLK._ f� LOT��ADD. �� �F�/��(-�— <br /> OWNE� � !�' �r.� ' rbj�� GONTRACTOR—` ,—,��/.YI p --- <br /> 7�,� / LAT <br /> INSTAL �L_=L?--�7ERED SERVICE_. <br /> 1 fIEREBY APPLY FON THE USE OF WA7ER IN ACCORDANCE WITH iHE {/�'/'� � <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%IS71NG /�/ T ���`� <br /> OR AS SAME MAY BE HEREAFTER CHANGED. slcNeo: X ��c.�i/ �`��------- <br /> MATERIALS �ii IN. 1 IN. � 2 IN. I� �'A� AMOUNT - <br /> p�pE _ COPPER--GALV.--STEEL — —I _ —� <br /> Y— <br /> CORPORATION � I . <br /> CURB GOCK OT I <br /> SERVICE BOX FLASTIC •• C I I _. <br /> METER VALVE _ — <br /> METER No. TYPE: —� - I `S _ __ __ <br /> —_ __-- —_ _�--.--_ _— _ . . <br /> METER BOX CONCRETE SMALL LARGE � I_ <br /> -- - ��-�-L-�_ . <br /> _--,_� , -- - <br /> - --� �- <br /> � ,. <br /> - - � ��--; <br /> I 'h ON <br /> . i'�.^..1 <br /> - DATE INSTALLED: ,��L y v I,`I�)�> J OFF SUB TOThL <br /> COOE I LABOp ANO EQUIPMENfRENTAL I HOURS RATE <br /> I _- C, .Pi}�>T%i__� _ <br /> � � — - <br /> � n�� 0-�- -- - �-- --- — <br /> i --�-�-- I=- <br /> � - ---_— —�- — <br /> � � <br /> i <br /> TOTAL <br /> REMARKS: .__ ._ <br />