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NOP�' 2-1 CITY OF EVERETT ORDERE <br />a�o O <br />" APPLICATION FOR WATER SERV!CE Q <br />F�' FIXED ` 9ATE_���`�(19.�51 <br />�� / <br />� DEPOSIT s ((J�� �✓. 0• <br />SERVICE (nYwDDnese)��! II� �7 �-��`--� ��- BLK._ LOT_� _ADD'.-�dlSri�LL� <br />OWNER�j�I II/ 1 � ���1�1� CONTRACTOR���� <br />INSTAL� `��� METERED SERVICE — ___ <br />I HEREBY APPLY FOR THE USE OF WO.TEH IN ACCORDANCE WITH THE ��� <br />ORDINANCES AND PGLICIES OF THE W0.7ER �EPAHTMENT NOYI E%IS71NG i <br />OR AS SAME MAY BE HEREAFTER CHANGED. eicNeo: X=_C`_�..-�">. _ .i�i'f'C� _..__ <br />MATEPIwLS �i IN. t IN. � 2 IN. I�I j PRICE ' AMOl1NT <br />L <br />PIPE __ COPPER •- GALV. -- S7EEL I�� I li <br />_.-______--_f--_—_._._-._ _-. �.- <br />CORPORATION � I I i I <br />CURB COGK <br />SERVICE BOX <br />METER VALVE <br />METER No. <br />METER BOX <br />OT <br />PLASTIC -- G I <br />TYPE: I 56 <br />CONCRETE SMALL LARGE <br />; i . . , . . . . r� ON <br />DATE INSTALLED: � �f� <br />i i,� � �`_ (' �' ,'�(! I� OFF SUB TOTAL <br />CO�E I LABOR AND EOUIPMENfRENTAL I IIOlJRS RAT[ <br />,f�� � G�i ��---._ _— - ``"'''r�7,Ciic �i' '— - <br />TOTAL <br />REMARKS: <br />