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4 <br /> i 1•� <br /> i <br /> I <br /> l7D <br /> H <br /> C4H[o <br /> r <br /> H x�ii'' <br /> H <br /> n <br /> x <br /> GHQ <br /> 1-3 [A[H'' <br /> m "C3 APPL. ti� C --J SERVICE p <br /> C27 po[21 NO. `���� / / CITY OF EVERETT ORDER N_ 6 917 <br /> HC APPLICATION FOR WATER SERVICE 2 ?Q/Q <br /> H 0 S � FIXED DATE �� 101Q <br /> OEFCSIT B NG O. <br /> xH� /H y SERVICE Ier ADDR[Bq /01/ Lc�/'79L BLK—LOT .�AOD. <br /> CH <br /> OWNER—,- J�_L� c ,yJ CONTRACTOR <br /> �1F-,-.1 INSTAL ` It (_MLBTE EO EERVICE�./G._J_ <br /> •" 1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE L <br /> y 0 y ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED SIGNED. <br /> MATERIALS BIN. I 'N. 21N. I PNCE AMOUNT <br /> PIPE COPPER-•GALV.•-STEEL ^—I <br /> CORPORATION T <br /> CURB COCK OT <br /> 1 SERVICE BOX PLASTIC •• C I <br /> CZMETER VALVE <br /> METER NO. TYPE <br /> METER BOX CONCRETE SMALL LARGE <br /> C3 <br /> I I � <br /> -oft Alm <br /> I <br /> im <br /> OKON <br /> DATE INSTALLED: 11 Ra I O OFF SUB TOTAL <br /> COLO=E LABOR AND XOUIPMENf RENTAL Noun RATE <br /> � I ; <br /> I <br /> TOTAL <br /> REMARKS: i � <br /> ,.- ,. <br />