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� <br />, <br />r ;' <br />�>"I' <br />NOPL �� g� � CITY Of- EVERETT ORDfiR E N° 6 7 3 5 i <br />APPLICATION FOR 6VATEF SERVICE <br />PIT:.D DATE �_'� _ _ _. iBS� _ I <br />� / `' f <br />� DEPOSIT y _/_ � W.O. ----_--- <br />tli Na-- _ <br />SERVICE(pYAODXEee) �(d_.�-�'__�y.��_____BLK._—_LOT---.ADU.__ __ ' <br />OWNER_f1.G(�i� T ��✓ _- / _(:ONTRAGTOR ___ _. __ � <br />INSTAL �L�-_.rETRED SERVICE�,I_L /__�J'� / ___. _,__ _____ ,_____ I <br />I HEREBY APPLY FOR THE lISE OF WATER IN ACCORDANCE WI7H TNE � � <br />OROINANCES AND POLICIES OF THE WA7ER OEPARTMENT NOW EXISTING � <br />OR AS SAME MAY OE HEflEAFTER CHANGED. �slcHEo:% __.___ .. _. _ _ ____. _ _. _ <br />M/�TERIALS I� IN.I` 1 IN. i 2 IN. I PRICE AMOUNT <br />L - . -�_ _. _._� _ <br />PIPE __ COPPER -- GALV. -- STEEL. __ i I I � <br />CORPORATION � � <br />' ' _ __—___ - ._"' _��-_ <br />CURB COCK OT <br />SERVIGE BOl( _ PLASTIC -_C 1 <br />METER VALVE <br />___._"___-___._-. _._. ..—_ _.. - ____ .._-- <br />hIETER No. TYPE: j 1{� <br />METER BOX CONCRE7E SMALL�LARGE <br />IJO ACTION <br />V1�ii be taken _qn servJr.�_ _ <br />applicatioais v�it[mcff � <br />`�.'�k ofir�V Preve.rT--r�-�::attsultafi6fl ----- <br />- -- --SEE *F:�iT�7E- --.. __ ---- <br />__ r� ON <br />OATE �NSTALLED: ""J �/ O�� O � OFF <br />coDE I / LAODR AND EQUIPMEN! pENTAL <br />�c,' I_-7-Sv3_�o Z. -- _ _ <br />_ RcidARKS' <br />SUB TOTAL � <br />� HOURS RqTE <br />i <br />___ _ - - <br />- --- '__ .. _. <br />_ _ -_. -._. <br />--i- - - - — <br />-_ _ -- _ -- <br />_ - - --- ---- <br />_ - -- - � <br />_ .. ._ _ _--- -- - I <br />-- ---_� <br />TOTAL <br />�G�CSlL'L !,`<.�J -�%�- S7 -- <br />