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� Haa�. 19 `;� � AFFPLIC,4TION FOR SEftvICE SERVICE �tj° 5 � <br /> '?, " Hu. �/ oaoe <br /> � �79� C:ITY OF EVERETT WA"fER DEPT. '' ��� <br /> � �( FIX� . DATF�' .�19� <br /> ��� � � ,. w <br /> � . � DEPOS"IT S /�D. _ _. .J •��!G/ � N �— �— <br /> 7c� <br /> ' SERYICE (BYAODNLSS)_ `� —�— �� �IBLK. LOT. AUa.__, <br /> ' ry � � C'ltl� �.!' � <br /> OWNEP � t- �' ON�T�RACTOR CL�1'y .-t_.v'� �• <br /> � „ �� ����t(ic-��'-+r/� ___ _-_ <br /> J <br /> INSTAL METEREO SERVICE- �)� __ <br /> � I HEREBY APPLY FOR THE USE OF WATER IN ACCOR�ANCE WI7H THE G�.C�.y`�.��..�-�-( � �t�� <br /> ORDINANCFS AND fOLICIES Of TNE WATER DEPARTMENT NOW EXISTING t_ �� ` � <br /> OR AS SAME MAY BE HCFEAFTER CHANGCD. s�aNeo: X�� % —_- .`.���, � _ _ <br /> . iAwTER1AL5 �.i IN. I IN. � 2 IN. � I PRIC! �AM�OUN <br /> PIPE COPPER - GALV.-5T[El. ��� L_�_ �i /� <br /> CORPURATION —� I � <br /> _CURB COCK OT _ II_ —� �� <br /> SERVICE 60X PLASTIC -- C I I I I����I� ,� , <br /> METER VALVE _ I � Ic`���IJ{/ <br /> METER No.7ys� f Q U TYPE1 > ' ,.� � %5 I I d(J�/D <br /> �=SSi<�Tt4�::''� — —— —— <br /> � --j� � <br /> METER 90X GONCRETE uMAI.L !_ARGE I <br /> C.n<�� .r. .r<,G, ...r - / I -- I��/ <br /> r.�j'- <br /> � ' ' ✓ / � �.�'�qp� <br /> .1�. YL-7� _ � �,�'--�L- <br /> � � <br /> I � <br /> --I — -- �- <br /> -- I I - <br /> � ON SUB TOTAL ��� �g <br /> DATE INSTALLED: 3 _Z� _� .-;. �OFF ,/r��� i f� <br /> COOE � L iBOR AN� EOUIP:AENT RENTAL � HOlIR9 RATE <br /> I In. - I �- � � " � 1' <br /> �T I I� I <br /> _!�'^, c . G.% _ I_rl �„� ''I iI! I "/-� �1 <br /> I � � �I � <br /> I r � -- — --•—-- —I=� — -�i /G I y `— <br /> � � / <br /> � � TOTAL ��b ��� <br /> REtdARKS: . 1 I .� �, <br /> — — � <br /> -----�'— <br />