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i <br /> rAio�� CITY OF EVERETT <br /> ���I� � FPPLICATION FOR 4NATER SERVICE ORDERE NO. .. .. �-� ;, <br /> � <br /> � FIXED DATE—�P�ti,.L__19� <br /> ` / O�✓ � <br /> K✓ DEPOSIT�n � yy p <br /> H Ne._ <br /> SERVICE �BYAD�pEeB)�`✓�� /�� � � BLK.. LOT�ADDv���'�`� �� <br /> OWNEI�--��� � _GONTRACTOR_ — <br /> �j� LA --- <br /> INSTAL� ETERED SERVICE_ _. <br /> I HEREBY APPLY FOR THE USE OF WA;ER IN ACCORDANCE WI7N THE � � C\ -- <br /> ORDINANCES hND POLICIES Of THE WATEn DEPAflTMENT NOW E%ISTING ��,/ \ 2 <br /> OR AS SAME MAY BE HEREAFTER CNANGED. slcr+eo: X �._�"�_�� <br /> MATERIALS �(j IN. 1 IN. I � ��• I PRICE AMOUNT <br /> P�PE COPPER•-GALV.•- STEEL I I <br /> —}_—L_ <br /> CORPORATiON _ — I —I� <br /> CURB COCK OT I <br /> SERVICE BOX PL45TIC -- C I I <br /> METER VAWE I --- — -- — — <br /> ��,I –L <br /> METER No. ��� .____ TYPE: �P('/SID[f__�ti <br /> METER BOX CONCRETE SMALL LARGE <br /> -r'if.'c��e�t_r -- — �_ j--�— - <br /> --� — — — <br /> _ . _ I <br /> _ --� - -- - <br /> , - -! -� <br /> DA7E INSTALLED: U��aO��� I n OFF , / 1 (n,�//// SUB TOTAL <br /> \J '�Y�"C��' <br /> CODE �i LABOR ANDEQUIPMENfRENTAL I HOUR$ RATE <br /> I � � _ �� --._ _-_-- __-I�-� � <br /> _._�_ --__ --_-._ <br /> � _ I�L__ --__ <br /> `� I <br /> I __--_ -_ -_- � <br />� I-_-- __--_.-- ----_.__ _ �_ <br /> - I I <br /> rorn� <br /> REMARKS: <br />