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qppL����6 APPLICATION FOR SERVICE SERVICE (v° H $ � <br /> No. � ORDF <br /> �c/�6� � CiTY OF EVERETT WATER DEPT. DAT� «'' � ���9� <br /> � FIXED <br /> � DEPOSIT S � . �0 N O. <br /> . SERVICE (avAnoREe6) ����L7 i/ n='���'� �/�����'�/�BLK. LOT{1'��.'DD /��/L'�-! `"��'�f� <br /> • <br /> OWNE�+ .—CONTRACTOR � C `v'��� �/ � <br /> 3�y �� F�T <br /> INSTAL� —M�!{CD SERVIG� <br /> 1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THc <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED, s�cneo: X - <br /> � MATERIALS 3i IN. 1 IN. � 2 IN. I PRICE AMOUNT <br /> � p�pg COPPER--GALV.-�TEEL � _ <br /> CORPORATION _ I - I�iS - <br /> CURB COCK OT I '-- <br /> SERVICE 60X PLASTIC •• G 1 I _ _ �I_�.� <br /> METER VALVE __ _ ___ -- -__ -- <br /> METER No. TYPE: I 41 �-. <br /> METER BOX CONCRETE SMALL LAHGE _ I <br /> _ �� T f __ �I � �5 <br /> --- -1---� - i <br /> � <br /> _ i - .� <br /> i � i i <br /> ON <br /> DATE INSTALLED: �� / '� G ❑�p � C'.�`r� `L� SUB TOTAL �Y '7 <br /> / / <br /> CODE LqBOR ANO EQUIPMENT RENTAL HOURB RATE <br /> � L�,.. L t., <br /> �— � , <br /> I� 1� � _ � � `i. ' - -- <br /> � I ,, � <br /> —�I --- �— I <br /> --- I �I', � <br /> i - - i - ---II--T- <br /> �� TOTAL I��J �L� <br /> REMARKS: �r? I l� I C � �-� � ? `� -� 1..1�. C)IJ.0�I "_ C. U •-..-..--_-�—� <br /> C� ��:���� �l �-n_ '__.____.'_-�\____-=-.'�i.�J___-.- � _.___- .-.____- S � _ <br /> t <br />