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I <br /> � <br /> I <br /> NOPL Cl� /�(�I CITY OF EVERETT ORDHRE I�'° � 6233 <br /> APPLICATION FOR WATER SERVICE <br /> �FIXED <br /> DATE__��_-19� <br /> � DEPOSIT s �_/� N� -- ' <br /> f <br /> I <br /> SERVICE Y Anoa ) � � �� � /� .�WJ BLK._ LOT.�f�LADD�,�(� <br /> OWNER_ �� � CONTRACTOR �J ��� <br /> �� FLAT � ��—� — <br /> INSTPL ERED SERVIC <br /> I HEREBY APPLY FOR THE IISE Of WATER IN ACCORDANCE WI7H THE A .� <br /> OROINANCES AND POLICIES OF 7HE WATER DEPARTMEN7 NOW E%ISTING � �—� _ <br /> OR AS SAME MAY BE HEREAFTER CyANGED. eier+eo: X ��_--_—_—_—_. .— <br /> MATENIRLfi jG IN. I IN. � 2 IN. ; I PqICE •MOtJNT <br /> _ _�I^ — <br /> PIPE COPPER•- GALV.•-STEEL <br /> CCRPORA'iION _ � _ ___ _ <br /> CURB COCK OT � <br /> SERVICE BOX PLASTIC •• C I I <br /> METER VALVE <br /> METER No. 7YPE----. I �5 .— --_ — -- _— _—.__._ _— _—_— <br /> M'_TER BOX CONCRETE SMALL LARGE <br /> � __ .-- —___I _i I__ —_ <br /> _—� �—i_— <br /> — ——I <br /> _ i � i_ -- — <br /> 1 <br /> I ON . ,` <br /> � DATE INSTALLED: � 1� � � OFF /`�"� SUB TOTAL <br /> l <br /> CODE � LABOpAND EOUIPMENfRENTAL HOl1R5 RATE <br /> -�-�_ i`- �-� --- - - <br /> i -I - <br /> -, -- - <br /> -- ----- -- �--- -- <br /> i --- -- �-- <br /> i ----------- --� - - <br /> TOTAL <br /> REMARKS: ��.wQr' � �1�I n 1 ___ ___ _^_ <br /> —.1 �— <br />