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NI <br /> i <br /> • s <br /> ay�y'y i <br /> O ISO H APPL. S[RVIC6 O 3f NM NO 2Sc..lv7 CI TV OF EVERETT ORDER N- O3 Q� <br /> APPLICATION FOR WATER SERVICE _/�W <br /> OAT[ S— <br /> CO � FIXED 1q <br /> OIH•I� DEPOSITG� TO POSTING �0.� No0• <br /> 'n yEOO 114- 61 PL S� _BLK.-_LOT�fl_ADD.RY <br /> H SERVICE IW ADDRESS) <br /> ZH <br /> [ H OWNS T _ __CONTRACTOR <br /> t7 V1 INSTALL. ETERGD SERVICE 7�1�J� ------ <br /> CO. CAI ORDINANCES <br /> HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> nLL**gll <br /> 0 ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING �V <br /> OR AS SAME MAY BE HEREAFTER CHANGED. /ION[D: % <br /> MATERIAL/ Y.IN.I 1 IN.I / IN. I PRICC AMOUNT <br /> NA <br /> plpE COPPER-•GAW.••STEEL <br /> CORPORATION <br /> CURB COCK OT _ <br /> SERVICE BOX PLASTIC •- C 1 .I - <br /> I <br /> METER VALVE <br /> C� C METER NO. TYPE — -- <br /> METER BOX CONCRETE SMALL LARGE <br /> -1111%ARM <br /> r• ON <br /> _1— DATE INSTALLED: I I – { I 0 OFF SUB TOTAL <br /> COD[ I LABOR AND EQUIPMENT RENTAL HOUR/ RAT[ <br /> "Mill,AIRM, <br /> MOB IRM, I <br /> I <br /> TOTAL <br /> RE14ARKS: <br />