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A�P�� � ��I 7 �.. � APPLICA710N FOA SERVICE o <br /> N��' SERVICE �� s � 1 <br /> < ��'�7,�i CITY OF EVERETT WATER DE�1', oRo��7 <br /> � FIXED �,�) OAl'tl�•/lc_.+�� i��_19�i . <br /> � DEPOSIT s . � ._/-,L'(? <br /> j l W.O. <br /> � i � No. <br /> ��} / � <br /> �>f __ <br /> SERVICE YAGDNE88) �`� "�j �'`-_(`. Ji.(.1`-t'-•'��� <br /> ��l LOT e <br /> OWNER_��l'�-<GGi.c.Ct�� u�.-��, e� y'`' . .4�"�._.f.r<GE'.� BLK. DD. <br /> / , � CONTRACTOR <br /> fGF'F <br /> � INSTAU ��� METERED SERVICE <br /> I HEREBY APPLY FOR THE USE OF WA7ER IN ACCORDANLE WIiN THE ���� �/f. 1. }- ' .�/- �-/" + <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING � r^.� �L_���� �--...;-r�s� y�Vi'✓ <br /> OR AS SAME MAY 9E HEREAFTER CHANGED. s�cNeo:7C"�-Y-� /�I�t,a.'-� SL y.'�� � J + <br /> � �i'FGdGf t tj <br /> � MATERIALS !�,- , •. � �' _ ��— <br /> �'i IN. f IN. � y �N. I j PRICE AMOUNT <br /> P��'E _ COppER-GALV.••STEEL �� I <br /> l'ORPC. 4TION I I <br /> �'URB GOCK OT � - � <br /> SERVICE BOX PLASTIC -- C I � � �I--- <br /> METER VAt_VE � �I__ <br /> METER No.�IQ���L�90�i'b�TYPE:/-�� � �� <br /> ��'�� � .,� (� I/l�fo�.r <br /> METER BOX CONCRETE SMALL LAItG� — I — <br /> I <br /> I=I —J�_� <br /> /.--!jL <br /> �--�- 4 �I� .� <br /> q ? I I I <br /> �1�U��I%i".�f-�,� /b �. �C(�� :� ' r I — -- � /� <br /> DATE INSTALLED: I � ON <br /> —�- — � <br /> � OFF SUB TOTAL '� // <br /> COOE I LA90R AND EOUIPMENi RENTAL <br /> HOURS RAT[ <br /> I �� . ._._i ��,;%�/I - <br /> -.--�-=T--= ' -� �- <br /> � / -� ] � �' o <br /> �___ '�(/ ' � �il!'� �a.c'i//ih� �I ,'� % '� ��' <br /> � II I _ <br /> i - _ ____�� � <br /> ��- � � �.y'�jJ <br /> � TOTAL � �yiS/17 !J <br /> RE�7ARKS: r��.�//i�c .C: v <br /> � -7 LC_,iL - <br /> 'Gs. ��7� — -- <br /> � -- ---------- -- --`-_—_—� <br /> � <br />