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NooL. � � ( V C APOLICATION FOR SERVICE SERVI�CE N° f) 8 Z , <br /> v, ORDE <br /> ���,��L� CITY OF EVERETT WATER DEPT. �%/� f / /- / <br /> DA'f�C_`_'_J—'—._.___'19� I <br /> ' FIXEO � <br /> / <br /> �. <br /> � DEPOSiTs/t�/'—__ No�—.—.__—_ _. � <br /> � /j � . � <br /> � �eJ/ .. (�.�"C(� !<r" Lrf . i.�i _BLK.-- —_LOT_,—_-ADD.__. I <br /> 9ERVICE cer noRcs��_y. �— — ---- -- '— � <br /> __' <br /> � r� /1 )�� '�:�i� 't �( ._ . _C:ONTFACTOR-- __—_--_ _— <br /> OWNER ' __.____._______--__ __-- __ _ <br /> '� FLAT <br /> INSTALL—L—M63fAGD5ERVIGE--.—.___—'--__-_—---_— __—_—.—_ .—' <br /> I HEREBY IIPPLY FOR THE I15E OF WATER IN �CCORDANCE WITH THE / <br /> ONDINANCES AND POLICIES OF iHE WATER DEP�RTMENT NOW EXIS7ING (/ <br /> OR AS S�ME MAY BE HEREAFTEfl CHANGED. eiaNeo: X�=�-7L3� ____—__-___---... -. <br /> :U'ERI�LB 1�� IN. 1 IN. � Y IN PRICE AMOUNT <br /> _ PIPE ____ _(�OPFEW••GALV.-. 6TEEL "__/��_' I __ .___ __ __� I J I l^ <br /> � .-�- I -i- � � <br /> CORPORATION —. <br /> CURB COC _(OT� __' —__.— —� "_ �—_ _— I .�UI_. <br /> SERVICE BOX___ PLPSTI -_C I _/ __I _ �I�� <br /> � <br /> METER VAWE __ __ __ _____ ___— __ <br /> METER No. __ __—._- _ TYPE: I ff - _ .__ __. <br /> METER BO% GONCRETE BMALL LARGE <br /> ------ ----��-� -- -_�_�-_I - __ ,.,�� <br /> __ —._ - �� ��C � _i_ �IJ�__ — �i� " / . <br /> —' ___—.__ —i --}— --_ — I <br /> —_ —'— _____-_—_--_�-__ —._-i-__ I��— —'_ J� <br /> I � ON <br /> DATE INSTALLEU. � _ �OFF �L SUB TOTAL �f ' �' <br /> COOE I LABOR �NOEOUIPMEN(RENTAL NOUR6 RATF <br /> —�1�s�---- ----- ---- ---- --,- -�- -- � -;- <br /> , <br /> --- - - ---, ---- <br /> -- --- ------ � � i, � <br /> ----- <br /> --'�"l�c�s f�- -- — - - -i- — -----�, � - <br /> ---- —----- -- <br /> -- — - -- � '! I <br /> i - �- - - li---i - <br /> — - -- —--- --- <br /> -- -- <br /> '� �� ? _ - --: _ =-- �--- --- <br /> - - -_-- _ . -- - __---- _ I <br /> � �� �.I I _.TOTAL I�I�{/I_ <br /> � — -- <br /> REMARK£: ... .. . _ _ '_._ . �—. <br /> '__,—_ _. . __ - _ _ . __._ . __ . _ _ . . .. _. <br /> __. <br /> J�; � �� • " <br /> . <br />