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pppL, �Y� '� ' APPGCATION POR SERVICE seawcE N� 'P 3 3 E <br /> No. ORDe�q <br /> T�. � ; �7 CIT'Y OF EVERETT WA7ER DEPT. oA ,�%'��'� �9 �� <br /> � FIXED <br /> � <br /> � DEPOSIT y / n '- i ` - No�� -- — <br /> � . 1 =��-L!K �iX'..C-L{c 'c1N ���L� 5�._—LOY ADD. <br /> $ERVIC��DDRESS) �y�}y-r�---� - - <br /> � � � � i �� 4.[� P.` v /_c������__ <br /> OWNE �='� '2�i./� �..,.,'.t,� .P _ `C NTRACTOR— — — — <br /> �- <br /> INSTALL_��—METERED SERVICF -- — - <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDAHCE WITX TXE , �� <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING / � �; '�^ <br /> OR AS SAME MAY BE HEREPF7ER .'.HANGEO. sIGNEo: JCLL�7�J�-aa�=��=��''���� --- <br /> !tATERIwLS �/4IN. I IN. 21� i PRICE � A�14�UNT <br /> PIPE �P6�' --GALV.-. STEEL � SJ�� � _ I I�� =rC7�/1, <br /> CORPORATION _ _ � I__ ___ I�' ���.[ . <br /> CURB GOCK OT I, II I_. <br /> —..._ - �'—i —_- _—�i <br /> SERVICE i?'�QX PLA3TIC -- C 1 � 2�� . <br /> METER VALVI. I � I__ ��y- <br /> —�— �� �3 <br /> METER NO.'�I 9�y-'S 77(� ���> TYPE:" L ' ��` � —_�— � �� <br /> C.c,^. —�"'1, _,��.--_— C' <br /> METER BOX v CONCRETE'_�,{;?� SMAL�ARGE � _ � ?� <br /> H ry�I^— <br /> _ c� � t 1 L � /i _ � II ..'��I .��K 1� <br /> _�'Jr —�: � —.�m—` --- ; �' <br /> — — --�� � <br /> — . i, . i a. I _ � � <br /> — �—; —� -- <br /> � oN � <br /> DATE INSTALLED: � �-OFF �'� � SUB TOTAL � <br /> CO�E L>BOP AND EOUIPMENT RENTAL HOUR9 RAT=_ <br /> I!%�� , ---- -- —ll 5. 1-- i�=— <br /> q , . <br /> / , �_�— <br /> I �� --- �_ j � - � � � -- <br /> — � ; — --- � <br /> �ti„ ---- ---- ' 1 _J�� . �i— <br /> 3 —— -- -------- -- --,-1— - - � — <br /> i�— i,—�� <br /> Ci // TO7AL � !J' <br /> REMARKS: <br /> __ __ - <br /> _ -___ <br /> .n <br /> 7 ( .�,�./ -- --� ' — <br />