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� `1 <br /> I <br />` i �I <br />�, <br />_`' i `� <br />� i i <br /> � � <br /> 1 <br /> APPL� ��O✓ / CITY OF EVERETT SERVICE I <br /> No. ORDER �Q ' � ^� � <br /> APPLICATIO^1 FOR WATER SERVICE ���'B <br /> ��FYEO DATE____ <br /> �n <br /> � DEPOSIT s /C ` o�_ ____. ' <br /> SERVICE (BYAOOREee7 ' .`/V I�_(�1� BLK._ LOT_�ADD.4.L�—u/��-'W� <br /> /( I ���{� <br /> OWNER��� f �S_ �" ^' _GONTRACTOR_U��1( ��� ____ '�. ii <br /> LAT Ii <br /> INSTAL� [ �� ED SERVIGE_--_-- � i <br /> I HEREBY APPLY POR THE USE OF 'dATER IN ACCORDANCE WRH THE ,i�����J9/��//� _ _----�— _.—.--- II <br /> r � <br /> OHDINANCES AND POLICIES OF Tf1E WATER DEPARTMEN7 NOW EXISTING i � <br /> OR AS SAME MAY BE HEREAFTER CHANGED. 91Gr+eo: X i <br /> MqTERI .l5 �/i IN. � �N. i 2 IN. I PRIC[ AMOUNT <br /> PIPE GOPPER-- GALV.-- STEEL � ' <br /> CORPORATION ____—_______—_----_ _ _-� I � _ .__ ___ �I <br /> CURB COCK OT __ j I I� <br /> SERVICE BOX PLASTIC -• C I II - I <br /> METER NOWE --__—_ __. TYPE__-- . —_._—,—_�I__�_.__ _ __._ _—_— I <br /> METER BOX CONCRETE � SMALL _LAR IE __� _I__I ___ _ II <br /> - � -I_I____ _ - � <br /> --� --�!- ----- - - <br /> - - -- __ _--- I-- �-- -- -- <br /> I I � ' <br /> DATE INSTALLED: II II � �� j.,,n��� I ��OFF SUB TOTAL <br /> vU( y <br /> CODE I LAOOR AND EOUIPMENfRENTAL MOURS RATE <br /> ��-s-'�� ��1 �Gtl"I/.aihl7l:� ---- --- — <br /> I - — --------- i <br /> i — I - — — <br /> -- ------- — �-- — --- — I <br /> � I <br /> ------ ---- -- <br /> --...- ------- � <br /> � ' <br /> ---- .. __.__--- <br /> ------ -----� ------ --- �� <br /> I I <br /> — ._.___.__.___ __.__— -___ <br /> � � <br /> TOTAL <br /> REMARKS: <br /> I <br />