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i <br />APPL. bayC) - <br />CITY OFEVERETT <br />ORDERENO. <br />:�l�l) <br />No. <br />APPLICATION FOR WATER SERVICE <br />I� <br />JV <br />DAB• <br />FIXED (/1% <br />N I %-'Z�S' `� <br />W.O. <br />DEPOSIT <br />No. <br />ic- <br />SERVICE (Rv ADDRESS)350?l <br />BLK." <br />-I "� <br />LOT_ —ADD <br />OWNER -u ar __......._.- <br />�/ 11 <br />INSTALL—� '. D SERVICE-_ _ — <br />I HEREBY APPLY FOR USF IN ACCORDANCE WITH IN <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING [IDN[D:X <br />MATERIALS <br />14 IN. <br />I IN. I A IN. <br />I <br />PRICE <br />AMOUNT <br />PIPE - COPPER • GALV. - STEEL <br />CORPORATION <br />1 <br />CURB COCK OT— <br />SERVICE BOX PLASTIC "" C 1-__ <br />I <br />—• <br />METER VALVE _,�,_,�{�� ,,,, � ��� <br />METER No. 7 2'7!�__-�YPE: tUo4W u <br />METER BOX 1.�COON.CRETE SMALL LARGE— <br />-- <br />-- <br />— <br />--- <br />-- <br />— <br />- <br />-- <br />L-3/- <br />ON <br />OFF SUB TOTAL <br />DATE INSTALLED: 7 V <br />COD[ LABOR AND EOUIPMENf RENTAL HOURS RATE <br />- L. /QI <br />I <br />-- TOTAL <br />REMARKS: <br />