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'4�'P�-�i/ ��� APPLICATION FOR SERVICE -'' '• - ' � sERvice �a 5 Q O <br /> N�. ! `�7( 7_ CITY OF EVERETT WATER DEPT. �ROER <br /> � F:XED DAT-L-�L �t ��_�B�I <br /> P!' <br /> � DEPCSIT ��1' ---- W.O. <br /> No. <br /> SERVICE �or woon�de� __•1 �L�� �C.� • �� 1a' A� " {�l BLK.__LOT_.L,1—ADD._ <br /> OWNER � ( �Y'�__� O q ,t�-_,�_���;��_�1 _CONTRACTOR <br /> > . PLAT <br /> INSTFIL��_tABT�RE�-8F.RVIC�___ /- ��� <br /> f NEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE H'ITH THE <br /> ORDINANCES AND POLICIES OF THE WATEk DEPARTMENT NOW E%ISTING / J � <br /> OR AS S�ME MAY BE HEREAFTER CHANGED. 6�aNeo: X_��,I� l �-L- <<'�--— <br /> _�� MATERIAl6 � IN.� 1 IN. 2 IN. I � PRICE AMOUNT <br /> _FiPE COPPER-, GALV.--STEEL �j _��� �7� <br /> CO:tPORATlGN <br /> _O:l2E COCK OT I I �� } � <br /> _ >EHVIC3 BOX LASTIC, •- C I � I I II .i/�l� <br /> 'TI:J <br /> METER VqLVE __ I — <br /> METER No. __ TYPE: _ I ;g I <br /> MCTER BOX CONCRETE SMALL LARGE I <br /> -- r�M - .7 --- I — �i I�J <br /> u _ I I <br /> � � <br /> I �— <br /> —_ � <br /> � <br /> � ON <br /> DATE INS�ALLED: _ /� ❑LOFF � � l� SUB TOTAL /// �n <br /> C � � <br /> COOE � LABOR AND EOUIPNENT RENTAL HOUpS RATE <br /> --�I �'',. ,�- - I_ � I , <br /> 17 , - �_� - �i � � �i�� <br /> . I • � i <br /> � -__ __ I ii I <br /> --;��i � � � � � � ��;-- <br /> 1� — — -----J��— — � <br /> I <br /> _—_ _ I TOTAL �I�� <br /> REMARI:S: <br /> — __ —__—_. _ <br /> _ ��: -� 7c�1-�--- --------- -- ---- — ---- -- -- �' �— <br /> �'�L.� <br />