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r � <br /> � <br /> APPL��T��/S CITY bFEVERETT � oROERE NO. <br /> No. <br /> APPLICATION FOR VJATER SEfiV�CE /J / �p' <br /> DAT��G i9/.L_ <br />�I � FIXED �--- <br /> � DEPOSIT C' W. O. ___ _ <br /> � No.___ <br /> ISERVICE 1ev� �aEesl—�0�-d'1 �--�y" �' — ^ BLK._s.� IO�E�3�ADD����^�� <br /> OWNE _L��-� �� _CONTRACTOR -- - — <br /> �� F -T—` <br /> INSTAL ETERED SERV_ I�a.—. �— <br /> I HEREBY APPLY FOR TiE USE OF WATER IN ACCORDANCE WITH THE rl/ , <br />� ORDINANCES AND POLIQES OF THE WATEH DEPABTMENT NOW EXISiiHG � � �' �� -- <br /> OR AS SAME MAY BE HEREAFTER CHANGED. sicNeo: X <br /> MATERIAL6 � IN. 1 IN. � 2 IN. I � PP�CE � AMOUNT <br />� PIPE COPPER GALV��STEEL __I��_�� f�l <br /> f _ . <br /> COftPORATION I I � <br /> CURB COCK OT I I <br /> SERVICE BOX PLA9TIC -- C 1 I I <br /> METER VALVE '."��_____ _ .__ _ ___ � __ ___ _ _ <br /> METER No. ::7Q;� TVPE:Yf;_•`.':i(__ I ___ _ � - . .. <br /> METER BOX • CONCHETE�.f�S�i*S���i.d MALL �LARGE 1 __ _ __ <br /> ]. .S� ��9L JH SR�{'I�CY' <br /> , ; p, - - �-�--�-!-- - <br /> l) . .� � /N, /�4j. <br /> ���,.'-'�T.{,R IL"RC�ayu" _—I � _�— — —.. <br />'I� _.�,�. ,o ..� _ —I � <br /> -- --I �— — - <br />� .,�5 �� . ,. r'•Ci•_` e� �/ '�' .�/CCft � � � � <br /> � ON <br />� DATE INSTALLEO:,;���• ,-:' �;'., 'J �-� � � OFF SUB TOTAL <br /> I <br /> I CODE I LABOR AHD EOUIPMENt FENIAL � HOlIqS RATE <br /> � _ l�, � r __� 7 - <br /> i - _ -z` �� I G _ _. <br /> -� � r _{.,- . _I_1 <br /> _---- -�� - - --- - - <br /> ' �---- .� i/ I.��- <br /> i -- � � t -- - <br /> �'.r � , � <br /> � --- - ----T�� - -- <br /> � <br /> TOTAL <br /> 1 - <br /> � <br /> REMARKS: . . j ��. � <br />