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i <br /> ,� ,�8' -'`�" � � �q�-6by <br /> Ha��' a� � g I CITY OF EVERETT � � oRoe�R� � <br /> APPLICATION POR WATER SERVICE ���' N� 5 9 5�1+�' <br /> � FIXED / F./ �� DATE__��1On!] <br /> � DEr081T ���� W. O. <br /> No.'_ <br /> � BERVICE ur eooecnl—l+��l ' ✓ BLK._ LOT--ADD. <br /> OWNE��f.d-LJ-�� � _ CONTRAGTOR�y��____ <br /> INSTAL n M6TERED SERV �__ __ ._ <br /> I NEREBY APPLY FOR THE USE OF�N'TH�ACCORDANCE WITH TF� �l <br /> ORDINANCES AND POLICIES bF THE WATER DEPANTMENT NOW EXI5T1!.G <br /> OR AS SAME MAY BE HERE�FTER CH�NGED. eleHeo: X _ _ <br /> HATERIALB y� �N. 11N. � iIN. I � PpICE AMOUNT <br /> 1 <br /> PIPE COPPER•.GALV.-•STEEL <br /> CORrORATION � -� I <br /> CURB COGK OT � <br /> SERVICE BOl( PLASTIC -. C I I � <br /> METER VALVE <br /> METER No. � 1 � � 7YPE: I !6 <br /> METER BOX CONCRETE SMALL LARGE <br /> - . _ -_.—I —L�.� <br /> — I I _ <br /> - '—i _ - _ <br /> -- . . —_I �_ __— <br /> _ I I I <br /> �ON <br /> DATE INSTALLED: � O r � �^� fj [/ I � OFF SUB TOTAL <br /> V O 6 <br /> COD6 � L�BON AND EOUIPMEY•RENTAL HOUkS R�TE <br /> -�I � � - -- -- � <br /> � -� - - <br /> ; - -i - <br /> , - - ----�- ---- <br /> � -- - --- -I - - <br /> I <br /> � <br /> TOTAL <br /> REMARKS: <br />