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; <br /> i qppL,��G�', � APPtICAT10N FOR SCRVICE s ioE�RE N° . 2269 <br /> No. <br /> CITY Uf EVERETT 9�VATER DEPT. <br /> i DATE �--19 7� <br /> ��FIXED <br /> �/ �V(1 � <br /> W. O. <br /> � � DEPOSIT 3'[�(i(/.D No. — <br /> _ ' ''' � ��// ��j//� P.�T�J �, C��Vu.� <br /> �' `� � SERVICE leY wo�aese) yC��-��,�����==�� BLK. LOT_SL_ADD�.Fj-,�.,r--4L�- <br /> .'..;�"�"�. � I /fJ //Cv ' / <br /> OWNER / l' 'f, �T� —CONTRACTOR <br /> '1 � �/ � FLAT � <br /> �`; I INSTALt�µ/i/�F1�IE� SERVICE_}-_ � <br /> I 1 HEREBY AP9LT FOR THE IISE 0--F V7�' ACCOFOANCE WITH THE `�. � � ���- <br /> i OROINANCES AND POLICIES Of THE WATER UEPARTMENT NOW EXISTING �( �_ <br /> �. OR AS SAME MAY BE HEREAFTER CHANGED. slaNeo: X <br /> ; MATEfiIALS �i IN. I IN. 2 IN. �__I�_ Pr.IGE A!dOUNT _ <br /> ' � /� � I <br /> i p�pE COPPER�- GALV.-•STEEL <br /> Ay � � ;... I CORPORATION f <br /> �k���„, �_�x -e� /. T / � �_ -- - <br /> i SERVICE BOR PLASTIC -• C I I _ _. <br /> I METER VAWE / � <br /> ' _ —__ —�_'{ — ——-- — <br /> � ME72R No. .S� 7rf�'c7 TYPc:��/f��>�• � I !� � <br /> F— -- T -_ <br /> �ME, T�R BOX — CONCRETE � __'SMALL� LARGE _ r _ _ <br /> i�—'__ __ ` O�l/ � ��L= /1/lJ _ � I —I_—_— <br /> ; � „yo�" n T- I I <br /> � i! � %L% ' /J --� - - - <br /> � i S'-//>r, �/�-� /«__ _ - I- <br /> "' � �C'C��;_(�C!.l 7"0/' C, n�S' �:` � -- — <br /> �— <br /> � �,u a, -�:�.� c,,�n �t�ri x I I �—I — <br /> f d-oN <br /> ' bATE INSTALLED: �-,�{, - 7� I � OFF SUB TOTAL <br /> G�I LA�OR AND �qUIPMENfR[NTAL I HDURS RATE <br /> � � ��i�%�.,^i'N 4' -- I `? <br /> � '- � 7 <br /> I r J p. ,��� <br /> �i _� ���L,'z. - -- —II�— —_ <br /> �� <br /> � <br /> (�`�`� � Yt3 >r �3— <br /> j II ""- �f :�G �l --�3 � <br /> � ----- 1J`;?�" I � <br /> i I TOTAL � <br /> I REMARKS: ����/f 5"_('/ �KY !�-!; f CO/l ✓i!<� c✓..L�l !)T!/��['/- n�..�7E �l//,__�/ a . �'�� ��lG ! /C <br /> I � � '7�-/�C(�c�lF t � fc• '/� �� �/F/- /lU��/�G 4 .5t lo���v�. GYc� <br /> ( �lj[� /� /99�Ti-��.� U,� S c-'Sc� cI v,z_�; � l .. <br />