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� <br />�� _���,. <br />APPL. �� , APPLICATION F�JR 3ERVICE �`�''�" seav�ce N� 6] S <br />No. �% ORDE <br />j 3,Q�j��' CITY 0F EVERETT WATER DEPT. �� ��� /,� <br />� FIXED DAT _ _�gLx� <br />�' DEPOSIT i /,J. �� W. O. <br />No.______ <br />SERVICE(���oRQesa�)., �C�����J`�� �� �r ��`E'� BLK. LOT ADD. <br />OWNER-1_—w`"�,�-� –tti�-`C�Ls%t��� <br />a- � GONTRACTOR <br />INSTAL �'� �� ���- � _.. _____ ' <br />METERED SERVICE <br />I HERE9Y APPLY FOR THE USE OF WATER IN ACCORDANCE WI7H THE � <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. s�cNe,�: XG <br />MATERIAL9 3i IN.I 1 IN. 1. IN. <br />�P �OPPER r GALV. - STEEL ✓.� � �I <br />CURB COCK OT <br />9ERVICE BOX <br />METER VALV� <br />METER No.!/Gv''/ _ <br />PLASTIC -• C 1 <br />�'�: �.l! 7 TYPE: <br />LARGE <br />� ON <br />DATE INSTALLED: /o"'z�-G� � OFF <br />COOp � �� IABOR AND EQUIPMENT RENTAL <br />i 7 <br />J_ <br />I G� <br />3, <br />REMARKS: <br />PflICE <br />J' <br />5UB TOTAL <br />HOURB I RATE <br />_� ro , J� ; j ;� - <br />"'v� � � � �'�� <br />��,:/ -��� �;' �-- � <br />rorn� I �2A �ri <br />