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qppL. �Z�y 3� "' APRLICATION FOR SERVICE SERVICE N° 1 0 9 5 <br /> N��� ' " CITY OP EVERETT WATER DEPT. ORD�^ <br /> /i 7 / <br /> �G`�c:u pq7��� !(���c�.�te"� <br /> �� FIXED /J — i <br /> . ��CY� W. O. � <br /> � DEPOSIT S ��v, o. <br /> - ��z_h <br /> �1 � ,�s � �- � <br /> B:ZRVICE (ev nDOacpt)—.__-..._//- - ..-_.. .. _._,__ 6L . LOT J DD.^�_.— <br /> AJ'•7<�_____�� / <br /> OWNER CONTR ��-�" >> '��-'�' � �L�rL� <br /> �� � FLAT <br /> INSTAL�_-'�Ml7'GRECSERVICE <br /> 1 HEREBY APPLY FOR THE USE OF Y.'ATER IN ACCORDANCE WITH THE ' <br /> � ORDINnNCES AND PJLICIES OF THc WATER DE'.PARTMENT NOW EXISTING �/` � ����� � �� <br /> OR AS SAME MAY BE HEREAFTER CHANGED. s�cNeo:X �'-' ✓ `T� <br /> MATEfilALS � �' IN. f IN. I :. IN. i� PRICE AMOUNT <br /> PIpE (COPPER;- GAL!'.--STEEL C+ � � ,� 3� �ye <br /> CORPORATION t �!�IL. <br /> — I <br /> !CURH COCK rOT;� I � _yZ�� <br /> _ '_ T. <br /> �_rcuYfC9 CiOX_. (PLASTIC�•• CI � � ^� �1�`�_ <br /> ict�:'::'�. 'v::_VE —I_'_ <br /> .' _.� '—'— __—'__ — _ '�—' <br /> i.i4'!ER No. 7YPE: I K I __ <br /> IAE7ER BOX CONCRETE SMALL LARGE I <br /> __ / _ �� <br /> l,���. ...:5_:;/.r/,r, (.( t�� J -- ._: ��� <br /> — I _—� — —_ � I-- <br /> I <br /> I <br /> �-I-1 I <br /> ON <br /> DAtE INSTALLED: .. _ _ _ �bFF .J��(�, SL'B TOTAL /� CI <br /> CODE I LABOR ANDEOUIPMENTRENTAL � HOURS RATE <br /> ��I _ �.J .. � - i ..' (-, <br /> I�.�, ���_��r._ I ?�a�� ��' I��% <br /> �'i �/ ` I II I � <br /> � I I_ �-�,- _ ' ,� �'�--- <br /> U / / <br /> � I TOTAL f/z av <br /> REMARKS: _ . _l c� �. C G�' ' ,��� ����'r-,----h Il, . ..� / /�` . / <br /> � ��`��_—'_._.'�a'--`^`�' _. 1,/� Ci�__.�..� r ! .1—_—..�.it_�—__ J . - <br />