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APPL. A/A�/8 APPLICATION FOR SERVICE SERVICE N� 1 4� � <br /> No. �(Y ORDER <br /> CITY OF EVERETT WATER DEPT. - / <br /> DATE_��!�_-_19�L <br /> � FIXED O V � <br /> l ��- / 9�i=D�" W. O. <br /> �o�oetr s��-7 .' - -- / �:qS7/7�„✓> No.----- - <br /> ��rJ ,��Q Z l, S G,��q��(/!JyB� �2 G QS7'�/' � � '�� <br /> SERVICE (sr A!oo'eu���n-y�--�f-�f�A � �-7���X._—LOT_�.1�-ADD.___L2L�2_ <br /> OWNE��f� ��1�,I�/�/// M��_._'___.CONTRACTOR�����C����'��L'¢'N/U <br /> INBTAL�/�METERED BERVIGE----�------- �� � ---------- <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH TNE r' <br /> OfiDIN�NCCS �ND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING �?�.(�/�L2y?-i��� <br /> OR AS SAME MAY BE HEf1EAFTER CNANGEU. �larueo: X-�� - ____.---_--- - <br /> MATERI�L! ----- � �N. I IN. I II IN. � PRIC! AMOUNT <br /> PIPE C C'.p_pP.ER •GALV...eTEEL .5�� _� ¢J , 2 �-� <br /> �CORPORATION � I II " I � S <br /> CURB COCK OT I II I� <br /> BG�'VICE BO% PLASTIC -- C 1 I I �t- <br /> �itT6R VA� �---- � _'__ __- --- �� �9 <br /> �.____._.-._.-____— -/ 'J1 7 <br /> MkTER No. TVPE: vE / ��------- _ __ �J �'J <br /> �-y / f' -- f— I �- <br /> � N`IFTE- R-BU �X � ONCRETE___ BMAL LARGE .I _ _ ___ L�-� I d s <br /> • -- '3��___ __._ _ / <br /> -'_�? g�� 7 -�� SN.CL�L�_�__ __ �_ [a I ZG <br /> r�i��� R ���--�- -� -- - �__?_�Z/ <br /> -- - --- -- - � - - -- �--!- <br /> - - --- -- -- � -�- � -- - - <br /> I fg ON � � <br /> DATE INBTALLED: L� . � D ,� J � O OFK �2 � � SUB TOTAL 7 �(j <br /> COO[ LABOR AND EOUIPMeNI RFNTAL -- — _---- -_ � NOIIR� RATE <br /> Cc �,_�t� � J� .S�» /5- 23 <br /> ��l _ . -------�----- �—.�_ ✓_'`�II I <br /> I- --- -- — - <br /> i� i <br /> � I �2.3 <br /> --- -- -- -- <br /> --- -- - - -- - I- --- 3s��---�- - <br /> ------- � ; 3 i 50 <br /> �-�---_'��-- - --------- ------ I / ; -- <br /> -- <br /> �I -,-/�- ------ - - - - - -- <br /> - -- _ -- ------ ��- - ----�- -�- <br /> -� _ - - - <br /> TOTAL . J� <br /> REMARKB: . � . � :. . . . . <br /> . '._-'__ ___. <br /> " -_'_____' 7�� �ff/. Q_ '_"' '_ _ . _ . . . ___ .. . _ . . . ._ ._.. ... .. S . <br /> � J "�l C� . _ . . . <br />