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APPL z o ��� <br /> No x�� -7Q •APPLIZATION FOR SERVICE senviceN� i,rjl l <br /> CiTY OF EVERETT WATER DEPT. �ROER <br /> � FlXED / �� DATE� - � _iBJ� <br /> Q�6�POBIT i �O�J . No <br /> .O. <br /> 8ERVICC frYAooRpiq�//� ��Y �,nL/a Y_ BLK. LOT •DD. --- <br /> OWNE�I�VJS f'.i ��'� / <br /> / �� � CONTRACTOR�/�I�LL �,Q „ <br /> INSTALt l•j _�RED SERVIC�_��_��1� �/��� �` G�--�Y <br /> I NENEBY APPLY FOR THE USE OF WATER IM ACCORD�NCE WITH THE �/�,{,�� <br /> ORUINANCES AND POI.ICIES OF THE WATER DEPAHiMENT NOW EXISTING � /� /'✓ <br /> OR AS S�ME MAY BE HEREAFTER CH�NGED. s�¢racp: XAti�" __ _J�-� _ <br /> /' <br /> NAT[IIIAL� w IN.� f IH, � p IN. '•� I PqIGE AMOl1Ni <br /> P�PE COPPER-GALV.-57�:L <br /> CORPORATION — <br /> CURB COCK �'JT I <br /> SERVICE BOX PLA9TIC •• C I I - - <br /> MfiTER VALVE � — <br /> METER No. 's/d9 . /1t�s�!' — / -- — -- __-p <br /> -��/�__ TYPE: d�^l��7-i cK. -?L- _ J .�J�� -�1 0_ <br /> MFTER BOX CONCR6TE BMALL �oLARGE <br /> �2_y . Ss.(: ��„c. t?a �3�q — <br /> �` ' �"'�.P..,rio`6_��i'J�. p 'y •Xf".�6�t �I — �� .c'.S <br /> -��� r �^"X/G�"C�'rlGllt'S. �c' - .� <br /> c-v ^rr••��- r�i, .� .r� i'.� cz��h ` - —J- - 3 d,� <br /> if - ¢—�xs�6�»��h�i�r_s_����i�- I 9U <br /> / ' 9T•�'Co�.Y�iq EX nsor�ic ,pp,G3 F;� I — _ _ L 7.� <br /> %z y.� .5 r�ro�v�. �o. G1�9 � � /�f .'�`_S'� <br /> �fc�ri�r�s �rvv�, s'/�s' .��� P1d/� ! als � � �--- ,�70 3S <br /> p I � ON <br /> DATE INSTALLED: p -Z G '7� � OFF SUB TOTAL ,%�jj ZG <br /> COOE '. LABOqANO EOUIPMENTRENT�L HOUHS RATE <br /> i � �L./':t .�. /T� _ —. � � --- <br /> T i2 t c.�, I /3 L�!< 2/3 � <br /> ���,L��1� ,+->T — _� y - — — <br /> iE. i.,; �,,�-�_—__ I � — <br /> _ i,� �,c3 ,� ��� I - — — — <br /> I � l= i•_:< �,s.�. _ :;r— i-� - — -- <br /> � <br /> — � � ��'� Se � - -- 3 Z 75 <br /> TOTAL �� ZZ 7�i <br /> REMARKS; <br /> _�l��-� -- - ------ ---�..G <br />