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NaPL' ' /1C��7�C� CITY OF EVERETT SERVICE o <br /> ��� AuPLICATION FOR WATER SERVICE ORDER N 54� <br /> �iI FIXED OATE—.—!'�1 <br /> �L <br /> � DEPOSIT ���� N O_ <br /> � :0 � �r � �7 �y�-� <br /> SERVICE (BY AnDREea)���-] I����F� - B-K._ LOT��ADD.1�� \fIC�AI �S <br /> owNa�2� � CON7RACTOR �'-����_��_��bl'Y1�--__ <br /> I` FLAT <br /> INSTAL 3 MET .RED SERVICE—. -- <br /> I HEREBY APPLY FOR 7HE USE OF WATER IN ACCORDANCE WI7H THE s�� <br /> ORDINANCES AND POLICIES OF TNE WA7ER DEPARTMEN7 NOW E%ISTING �/ <br /> OR AS SAME MAY 6E HEREAFTER CHANGED. stcNen: X(�1�l�,/_ . <br /> L,= ��'-�------ <br /> IIATERIALS yi IN. I IN� � 2 IN. � I PR CE AMOUNT <br /> PIPE COPPER-- GALV.•-STEEL IL-- <br /> CORPORATION � . <br /> CURB COCK OT _ � <br /> SERVICE BO% t'LASTIC - C I �_ _. <br /> __���' <br /> METER VALVE _. __ ___ <br /> METER No. _—_..- TYPE: _..____I_`F _I _ _ _ _ <br /> METER B()% CONCRETE SMALL LARGE <br /> — _— — I__l�_ <br /> '—I �_'I._— — �I��'il <br /> � I—� �_ <br /> �I � I <br /> k 'DATE INSTALLED: l,�/Z7-y L I � OFF SUB TOTAL <br /> ✓ �) <br /> CODE � LABOR AND EOUIFrnENT RENTAL I HOl1R5 fiATE <br /> --i i,�`t�''r.�'a9��' --I — _ <br /> � <br /> I I <br /> � oa85�-1 �_ _ - �-- --- � <br /> ---, � <br /> i -- - �— _ <br /> - - - —--�— - - <br /> I <br /> TO"iAL <br /> REMAF:KS: <br />