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•I�PPL, • ' 94 54� APPLICATION FOR SERVICE SERVICE N° � 4 Z <br /> No. ORDEH <br /> � `I �f S � CITY OF EVERETT WATER DEPT. S J��u c / <br /> DATE__—_—___18_k� <br /> � FI%ED <br /> �q DEPO8IT S I79 `__.. NoO.—___--_—___. _.. <br /> Y• <br /> BERVICE �sAY,ADDR[�BI_.IJ�1=J--�y=�—��----�LK._—.-_LOT_�'ADU.--- <br /> OWNER—.L e�Ll—=!—�'—l—�—S___—_._'—.---CONTRACTOR_—_—__---_-- —_— <br /> L/• T� <br /> INBTAL 3 J---�D'9ERVICE__—. __—__—_______..___ . _'___ <br /> .�______. _ <br /> I HEREBY APPLY FOR TH�rCIfE OF W�TER IN 11CCONDANCE WITN THE <br /> ORDINANCES ANU POLICIES OF THE WATEN DEPARTdENT NOW E%ISTING . �� ���__— <br /> OR AS S�ME MAY BE HEREARER CMANGED. cior+eo;%__ . ---� <br /> MATEPI�L9 /K IN. I IN. 1 I . I PRICE �MOUNT <br /> PIPE COPPER - G ALV.••STEEL (y O _ � ____ _ _ _� 3"� I��.. <br /> CORPORATION � I I� J ` <br /> _-- —� — <br /> CURB COCK OT __I_ __�I <br /> I �i <br /> 3ERVICE BOX PLASTIC -• C I _ _� q <br /> METER VAI.VE ----___ � _ ______ _'_ _— I '!3� /� � <br /> METER No.7I�p_?sa,7��,j _ TVPE: I M � -- �✓1 _�' t <br /> METER BOX GONCRET SMALL LARGE / __ J�_�7I�� <br /> - 5..��_---�._- -- — ---- �� i33 <br /> i <br /> - —L— <br /> --- _�r-c- �xt ' '' � --� -�� �'� <br /> _.. -- i - �— <br /> --------- - -I- �- — --� — I--- <br /> �J <br /> --- ---- --- I ---I <br /> ❑ �N " : <br /> DATE INB7ALLE0•( R_� 7 — �Bf� ��, �� SUB TOTAL 0 � <br /> COD! � LABORANO EOUIPMEN�RENTAL —�—�MDUPs RATE <br /> — �� "—_—_._'_— _'____—_____. ____—____ I � . �4y_5� � � <br /> .t ,. i i_� __ � _L__ <br /> I -- _�__ li I__ <br /> � - - _ �_/�/_ �. );i?�� 1 I '.i _. <br /> �,,�(� -�--- <br /> ;2 d ----- -- � � - � - <br /> ------ <br /> ----- ___ ;- <br /> --- - <br /> ! __ - - --- -- - - - -- --- <br /> --- ---- - - - - <br /> -. I , ,. <br /> , , � , �- <br /> i�� � . , _ - -- ,�__ - _, -- <br /> — .- --- __ � ! - - . _ � <br /> -- I TOTAL I'� � <br /> REMARKS: . _--s.- <br />