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�„�-- _ � <br /> , <br />� '� _ APP�' �//� 3oZ�1� CITY OF EVERETT SERVICe �: . ' • <br /> NO, (� ORDESt NO. . ��� �: C� <br /> F,PPLICATION FOR WATER SERVICE �/�� p'� <br /> � FIXED �� DATEleJL4v,.P�,._tiZ� —18¢� <br /> ,'/� . <br /> � DEPOSIT ��_ W Q� _ <br /> No. <br /> SERVICE (av�oonee –/2�.Q�y��?_�Lfl_�l:����_BLK._ LOT�2�_Abbf�_`5i`� <br /> F'__.i'.��1.6'S�� ' �.G�l�'F�/ , <br /> OWNE 2_ GON7RAC70R-- '� <br /> i �' � <br /> INSTAL 3/�_METERED S�RVICE— — —_ <br /> I HEREOY APPLY FOR THE USE OF WATE? IN ACCORDl,kCE WITH THE . <br /> ORDINANCES ANU POLICIES OF THE WATER 9EPARTM�NT NOW E%ISTIIiG <br /> OR AS SAME MAY BE HEREAFTER CHANGED. eiGNe ---J�–�__ _ <br />�I IAATEflIALS ti IN.I I IN. � IDL I PRICE AMOUNT <br /> I_ <br /> PIPE COPPER-- GALV.-- STEEL �� <br /> I� CORPORATION ___ _� _� _ _ <br /> C��RB COCK OT � <br /> SERVIC=' BOX PLASTIG -- G 1 I � <br /> IMETER VALVE <br /> METER NO. -_ �---TYPE: --'– � I �.e " --�- - – — � <br />' METER BOX CONCRETE SMALL I.ARGE � _ <br /> —_– —-- I_—l�–I'—_I_._. . .-- — <br /> _i ��'_– _ __ <br /> – ——I — � <br /> I � —_ <br /> � I I I I <br /> � '� O V <br /> i DATE INSTALLEO: 3– ��u � I � OFF SUB 70TAL <br /> COOE I LAAOR ANO EOUIP�'ENf RENI'AL HOIJR$ RATE <br /> i - �-x i1� <br /> --� L, C r-R�h �� „ <br /> i � -�`a1[I I ,r�- -- <br /> ; �-�/��-�,/ -- ;-- -- -- -- <br /> � - <br /> --�I- _- -_ ---- -- <br /> � �--- -- <br /> TOTAL <br /> � REMARKS: <br /> � I <br /> l� � <br />