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■ <br /> RPPL. s` 9� ApPLICnT10N POR SERVICE SERV�GE N� S O H <br /> N��_,�,�� CITY OF EVERETT WATER DEPT. URD`R � , " r <br /> � FIXED �� � � i f. !�-.< <�- OAT6�,��L=<_�_t��_ <br /> I <br /> DEPOSIT s �-' W�� <br /> ❑ -.__.'__- /� No._'-___--- <br /> ,�;��.(� �,i.(�--ll [�A' �x Cs!� � <br /> SERVICE cnr�oonu��___. _. _-___ LK.--LOT ADD.-- I <br /> �jVNERy-- CONTHACTOR-_— <br /> 1.�.C(l� `�j r' ' FLAT �• - i. � � n _ '___ <br /> Mf�M1tL �� METERED BERVICELh���i'f. ���_ vr lr �<a.-i �. ` ✓' f+�v <br /> ��—__-_ <br /> I HEREBY APPLY FOR THE USE OF WATER IN I�CORD�NLE WITH THE /J � � I <br /> ORDINANCES AND PO4CIE5 OF TNE WATER DEPARTMENT NOW EXISTING //� �te % • �� • ///^ <br /> OR AS SAME MAY BE HEPEAFTER CHANGEO. •Icweo: X/��_-�- ''�-' �fZ_�____ <br /> MATFRULB #5 IN.� 1 IN.i L IN( ' i� PR�CE AMou9 , <br /> PIPE OPPER)•GALV,•-STEEL _ ' � _ I _ _ <br /> CORPORATION _�., . . � . �' '__I _ _ ___�'�I�' <br /> i.: <br /> ,CURB COCK � �TOT � �� � � <br /> - -___ _.— -- .��I _ <br /> BERVICE BO% �PLA3TIC �• C I __ _I __ _ I p��) <br /> METER VALVE ` � <br /> METERNo.__--_.__.-___ TYPE_--_._I—f - - _--- -_- ___-..- '�_._. <br /> ME7ER BO% CONCRETE eMALL LARGE I <br /> ----- --�' — —,-- — - /i� <br /> � <br /> ------- — — - -- -i-- <br /> — ------ —I -- -- �_ <br /> ------- --- - - —�—i �— �-- <br /> ON <br /> DATE INSTALLED: I � OFF � � SUB TOTAL � 7 <br /> j - a7 - /� 'i Q' . i . -i <br /> COOE I LABOR ANO COUIPMENfpENT�L I NOURB RATE <br /> � . ' � -> 1�,' � ' <br /> -� �. � <br /> — ' �- -- — — r—r`— <br /> —i_ �. I <br /> , �; s, ; � ,—�_— .;�, ���II��� i�; ,- <br /> -- '--f�------ -- ------ — — -- <br /> I il I <br /> --- . <br /> — -- ------ '--- --,---- <br /> -� ., i . "�', ; �' I; <br /> . �,-r -� <br /> - , . <br /> ' ---� -�-— 1— --- - <br /> ------ --- --------- - ---- <br /> i �� � <br /> =i__- _--___�.-___.- 7 ViAL I� <br /> REMARKS: , � - _'��//.. <br /> - _ .___-_ _' ./ '_. !�__ <br /> __.-il_. i-�__1..-.___"__.1.. ��_�_ . . _ . . ._._" .. __. <br /> I , , _. ._.. , <br /> t <br />