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� <br /> 0 1090 <br /> SERVICE N <br /> � ^ ��� _pppL►CATION FOR SERVICE oaoett <br /> nPP�. �i WATER DEPT. ' _,e-- <br /> No' CITY OP EVERETT ;�nT�= <br /> �!:1_�;S w.o. ' � --- <br /> � FIXED No. . _--`;.' <br /> / i_ ) <br /> ` }�' � } <br /> � DEP051T s _- i ;'/�: �; . nDD�----�— <br /> .�, /--E� BLK. LOT <br /> �� � � � � '. _i:_< <br /> / <br /> ���� <br /> 6ERVICE lBT ooness) <br /> � �' � /� /__y.�.s ,;-!�91� GONTRACTOR � <br /> ��_ �— <br /> _ t J <br /> . OWNE� +;FLAT . <br /> ;'p-i� - ' - <_: e� =�rta SERVIC�---��- . � ' . . : i .. : , . <br /> � WITH THE i� f� <br /> 7HE USE OF WATER IN ACCORDANCE g�NEo:X=-���� ' <br /> 1 HEREBY APPLY FOR PRICE - PMOUNT <br /> ORDINRNCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING � <br /> I�- <br /> OR AS SAME MAY BE NEREAFTER CHANGED. y0 N � �H.I2 �N, I <br /> MATERIPL9 II I <br /> COPP�R'-G!'LV.--STE_�-E�_�� <br /> PIPE _� —��i I __ <br /> CORPORATION �_ I� <br /> CURB GOCK �T _--�� _ II I _ <br /> PLA5T1= ---- — �_� <br /> SERVICE BOX _-- -� � <br /> MET—� '_I_�--- _- <br /> 7YPE: _ I <br /> METER No• � SMAL�g � <br /> METE� CONCRETE �— ��I <br /> _ _ - �- �_ I�- <br /> _ - _ - I� <br /> __- -_ '� �-�-- <br /> � <br /> I � ON SUB TOTAL <br /> � �FF RA�E <br /> HOURS <br /> DATE INSTALLED: I -- <br /> LABOR AND cOU1FMENT RENTAL <br /> _�—. �I <br /> GODE I _ . I I�I _�— <br /> I I <br /> I I—�� <br /> II I <br /> I � ----�—'I—— �� �—_ <br /> -----�—� I--_ <br /> i �_ �_----- —_1— <br /> _�— __ --- I <br /> -- --- I <br /> --_- _—-- � <br /> ----_ _ <br /> � TVTA�' <br /> � / I �'�--- �- �' E� �J�_ <br /> �� - , �. , ., . �. �-� -- <br /> � , � —--- <br /> --- <br /> � .:� ,. ... . .r • . . . ,---�— ' .. - <br /> REMARKS. - � i . . - - - -"--' --- <br /> __-_-T .._._ . <br /> _ _ <br /> �. I � . .__— -. . ._..____ <br /> %U `� —� t.. �r� , � _ — <br />