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naa�. - APPUCATI7N FOR SERVICE SERVICE N° 6 6 9 <br /> No.�➢` � /G��9� CITY OF EVERETT WA7ER DEPT. �RDE� <br /> r`d IXED � � / DA'�-"��-'�=i_—Ir� <br /> yai <br /> /� �R W. O. <br /> � DEPOSIT S_�_C'� = No.____________ <br /> / <br /> � . / i <br /> SERVICE l!Y ADOPEBB)--^�-.�`l� _�,i._� L.-L 1.f� c /�'�' „`�,1_OL LO7��—ADo.—_,^--_,— <br /> '__ <br /> —_ <br /> , � <br /> OWNER—�-__— _ ..— .—CONTRACT '�'_� . '���_f-�G� J1 �! �. <br /> � � ���v - -- � <br /> INSTAL METGRGD SERVICE_—_----_.. _.— � — <br /> I HEREBY APPLY FOR THE USE OF WA7ER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLILIES OF THE WP7ER DEP�RTMENT NOW EXISTING <br /> ON AS SAME MAY BE HENEAFTLN CHFNGED. eicr+eo: X___ . -7�4�--_ _ - ___.—___ <br /> MA�ERIAL6 � ����I � ��� I � �N i PflICE AMOUNT <br /> I 7 <br /> PIPE CUPPER•-GALV.—STEEL � _ �_ .�'� _�I�/� <br /> __ _—_ _.—_—____ ��� ___II__I— <br /> C�CPC RATION � <br /> CURB COCK OT I Ili I <br /> SERVICE BOX PLASTIC -• C I I I I <br /> METER VAWE --.—__.—___--_--._.__�_ _---__. ___— _�_{! -� _ <br /> _METER No. �Jy7y�����j�TYPE• 7_ _O,_ . _I �S _'__. _ :l� /`, <br /> u�.��..r —_ — _ _.. _ <br /> _METER BOX CONCRETE _ SMALL LARGE 1_ I _ _ __ <br /> I I I <br /> ----------- -----, �-- - � �- <br /> — -- -- ---i I '— { i— <br /> —— ------ —-- j— _ ---: a I—.. <br /> - - ----------- ---�- --�---�--- --�- � -- <br /> i , <br /> � CN <br /> DATE INSTALLEO: I �lOFF SUB TOTAL �/'1�%. <br /> /ci -.? •-!�� ���-.. �_ i, � <br /> CODE I L�BOR �NO EQUIPMENT RENTAL HOlJRB RATE <br /> ��- ---- ---- - i--�-- --� - <br /> � � <br /> --- ---- -- . . :, - <br /> -- - -- ,-.�- --,� � � � <br /> --'�ccc4r�- ------------ - ------ — -- -- — <br /> , i � I' � <br /> --------- ---- -- --i -- <br /> ------- ---- ; , � <br /> � <br /> __.------ -- ------ <br /> — ---- �-- - i� � <br /> ' __ - -- ----__ _ — — - —J- <br /> — --- - - <br /> - --- I-- � � <br /> � J� 70TAL � J�-����J <br /> T r � <br /> REMAftKS: -� .� ; � � � . . <br /> , r . .. � n <br /> ___'._ . .. __. . __ .. . . .�_. .._. .. . _ . l�_ l.l.li l:__. ... _ . . .. _._ —"_ _ '—.. <br /> . j �� <br /> r�� �. . _ . . � . ' . -. ._ . <br />