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i <br /> APPL. <br /> No. ��� � ,7? CITY OF EVEr�ETT ORDHRE NO. • .i ;:) <br /> APPLICATION POR WATER SERVICE �7�/ ' " <br /> � FIXED �/— �7'?-/ /' DATE��_�g�, <br /> o.� �' �CC(/� <br /> �DEPOSIT ��� W p <br /> /�UE No._ <br /> SERVICE (eY�oO�se>�/��� �//� )-� �--�/ _BLK._ LOT�Ap[� �G��� <br /> � � � � <br /> OWNE� FL`T 1. \ �__P CONTRAGTOR�,2.-�y!��� <br /> � �_ _ <br /> INSTAL�METERED SERVICE—_— _ ___ <br /> I HEREBY APPLY FOR THE 115E OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES .\ND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED, s�cr�eo: __� <br /> MATERIALS � �N• � �N. I � �H� <br /> I � PNICE AMOUHT <br /> P�PE COPPER--GALV.--STEEL I I <br /> CORPORATION _ �� <br /> CURB COGK OT I I I <br /> SHRVICE BOX PLAS7IG -- C I I I <br /> METER VAWE <br /> METER No. ---_— 7YPE—_—. ._ ___I ' — --_—_ __ _ <br /> METER BOX CONCRETG SMALL LARGE <br /> ___'—'.__'.—_— — i —�— <br /> I <br /> _ —I — —I — — <br /> __ I <br /> —_—.—.—_—__ _I—I _� __ _— — <br /> � I I 1 I <br /> I ON <br /> OATE INSTALLED: I�, ��7��, � OFF SUB TOTAL <br /> / <br /> CODE I- LAfiOR AND EOUIPMENf FENTAL I <br /> IMOl1R5 RqTE <br /> � - — –��/°✓'��PiIGTd��--I — <br /> � <br /> I � i--- -- <br /> ; �3=---=-- - -- �-- <br /> � <br /> Torn� <br /> REMA4K5: <br />