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11(py*• royy <br /> 10 C <br /> Id <br /> O 6T O <br /> 7 yN M <br /> H <br /> V7 O <br /> M $� SLN VIt.L <br /> y <br /> No. v� (/ �� f CITY OF EVERETT ORDER N° B 0 9 9 <br /> N APPLICATION FOR WATER SERVICE <br /> DATE-.-y.�_� —Iel— <br /> O N FIXED p0 TO P • L I rOS7 W.O. <br /> �Cy <br /> DEPOSITS /(J <br /> O SERVICE (BY woO11t/81� J� BLK..--LOT'4 ADD. e�-_y�vx.�>�_ <br /> //i� v <br /> OWN ER�cs`'T'�-�t"�-'�----CONTRACTOR_ _-- -- _ <br /> F -__ > <br /> INSTALL" U "METERED SERVICE! _...- _ - --- ------- - - - — <br /> I HEREBY APPLY FOR THE USE OT WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED BlallE0:777111 vil L — <br /> MATERIALS Il IN. 1 iN.111N. I PRICE AMOUNT <br /> PIPE COPPER••GALV.••STEEL <br /> CORPORATION <br /> CURB COCK OT — <br /> SERVICE BOX PLASTIC - C I <br /> C� METER VALVE <br /> METER No. -- <br /> dJ _ TYPE. �/Y vNT• ... ' <br /> 1i <br /> _ METER BOX CONCRETE MAL LARGE <br /> � ON <br /> �I�i OATE <br /> INSTALLED: y2 I �CFFr SUB TOTAL <br /> CODE I -I LABOR AND EDU IPMENf R[NTAL HOURS RATE <br /> ' 1Aw <br /> SEE,Allow _'— NO-AC_Ttot - - <br /> WIR ba taken on iBrvIC� <br /> air <br /> MW PMVDR ' TOTAL <br /> REMARKS: K/�.LIJ•C/t/ -- 0/V / O _ __ <br />