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�+�PL��� -� , APPLICATION FOR SERVICE SERVICE �_ 5 4 6 \ <br /> O <br /> No. . ORDE <br /> �7�� . . . CITY EVERETT WATER GEPT. L `{-, ;�{ <br /> �IXED <br /> DAT �'i'2�' —1�"V <br /> ❑ � �.( 1 tG-�[_l�-rC.-C� �� <br /> � DEPOSIT S � ��r�-/C�fi �� No: • <br /> SERVICE (eYwnDRE c) �` � ����v OLK. LOT ADD. <br /> y�/ i <br /> K'NER��1 � t'r-���/e / CO/N�RACTOR <br /> ��C�li.L�/,/ IR AG�ERED SERVI����" �/ KC's'. �/.CtGt-tC�/ "�' <br /> T <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCH/ ITH THE _� /�' <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING 1'—� � ' ��. �r I <br /> OR AS SAME MAY BE HEREAFTER CHAN6ED. slcrvEn: X�� �� {L`L(�"�.'.__ 'f /�r^ <br /> —T I <br /> i <br /> MATERIALS �'i IN. I IN. I 2 IN. � � � nRICE AMOUNT � <br /> PIPE OPPER - GALV.--STEEL ' � I <br /> ,� c� _ _JX I � <br /> CORPORATION — � <br /> CURB COCK OT I <br /> SERVICE BOX LASTIO -- C I � I I / - •)/�� <br /> METER VALVE <br /> METER NO. TYAE: I -!e <br /> � METER 90X CONCRETE SMALL LARGE I <br /> ,� _ ? � / � _ �� �.; <br /> ' �� � � I <br /> / ��° i'• `' 3 �C�, � <br /> ii� ,� - �a ���;- � / f�� <br /> I <br /> I <br /> I I <br /> N <br /> DA7E INSTALLED: . __ �s� � OFF SUB TOTAL /� % <br /> CODE I LABOR ANO EQUIPMENT RENTAL I MUUpS RATE <br /> I ��Ac[� � - � � 1:��J <br /> � .. . � . , ;- i � .. <br /> ���Yll�6..—ri� . <br /> ��— .����� :- <br /> ' � �I I <br /> I,� � _ I__�_ --'�i � I. <br /> I I i <br /> I I <br /> TOTAL .��` �� <br /> REMARKS: <br /> _—_ __.—___—______. �` __ ____ —�_ � __ <br />