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APPL. �n,/��. ��� CITY OF EVERETT SERVICE N° 6529 <br /> No. � '"1 � �.�� ORDEi! <br /> APPLICATION FOR WATER SERVICE r /,_�� (�,�, <br /> DATE— � —� 8� <br /> � FIXED n� <br /> � DEPOSIT � pWj' O_ / <br /> SERVICE (eY ADDREBB)^ m/7 <br /> J�l .�I I �_" ' /7I -�- L� � BLK._ LOT�ADD.` ,/��-.-- <br /> � � ��1�.�/1��J <br /> OWNE „� � CONTRACTOR �- — <br /> INSTAL� ��" LAERED SERVICE�.��� � -� <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITN THE �//_{���— <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EX1571NG �% ! <br /> OR AS SAME MAY 8E HEREAFTER CHANGED. elcr+eo:,X.. ""��-%--�!---_--_---------.. <br /> MATkR1ALS � IN. 1 IN. � 2 IN. I PRICE AMOUNT <br /> PIPE COPPER•- GALV.-STEEL — � <br /> CORPORATION � � �� _ <br /> GURB GOCK OT I I <br /> SERVIGE BOX PLASTIC - G I I , <br /> METER VALVE ___ _____ <br /> METER No. TYPE: I 35 _ _ <br /> METER BOX CONCRETE SMAL.L LARGE I I <br /> — i--� <br /> — --I �—'— <br /> —_I �— __ <br /> I � <br /> I I� I <br /> C ON <br /> DATE INSTALLED: � �� � OFF � SUB TUTAL <br /> GODE I LABOR AN�EOUIPMEN'fRENTAL HOUHS _RATE <br /> �i - `�' =l ---� <br /> i I <br /> - - �- -- <br /> �i ----- -- � <br /> I -- -� - <br /> TOTAL <br /> KGMi.R1:G: j�.�-ai��:/. � f� -. . . _'_-_'..—.__- <br />