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APPL.��;� APPLICATfUN FOR SERVICE SERVICE N° 5 Q 3 <br /> No. ' � ORD <br /> -/�7�• CITY OF EVERETT WATER DEPT. �� � GG <br /> �FIXE DAT � �p Q <br /> � DEPOSIT S �7S C�� No.�'�— <br /> / ^ �J , <br /> � ) � ��/ I <br /> 9ERVICE .r onosl � � ��-�-v � � p�_K,__ ��qDD. <br /> r ; OWNE �� _. 4i-P��-!'GVG�[-� _ _CONTRP::TO�R����"L� "`-'�"'� __ <br /> / �,.r �^ c 7 �� <br /> INSTALI�METERED SERVICE .___ <br /> I HEREBY APPLY FOR TI�i USE OF WATER IN ACCORDANCE WITH THE '�-�' <br /> OR111NANCES AND POLICI3 OF THE WATER DEPARTMENT NOW EXISTIN� IL�,����r�:�� __� <br /> OR AS SAME MAY NE HEREAFfER CHANf,ED, s�cNeo: %—..7 <br /> MATERIAL9 Si IPI. 1 IN. 2 IN. � � PRICE AMOUNT <br /> PIPE C�OPPER�GALV.••STEEL C '� �� <br /> ti- <br /> �' CORPORATlON 1 � L <br /> � CURB COCK OT i � <br /> -�� �-�- il�--- <br /> SERVICE BUX PLASTIC •- C I <br /> METER VALVE __ — I-- I � i)/ <br /> OSSG <br /> METER No.Uy�J_���7i� TYPE: � �, �O <br /> ��----- ` �-=� <br /> METER BOX �CONCRETE MAL LARGE / I '�-; <br /> �� <br /> -- ---- 6 . ���. ...�.L��---I l � _– -- I—���G <br /> �� - �'-- <br /> -�-- -, - �- <br /> - - i - i <br /> __- __ i i �_ _ --�- <br /> � ON <br /> � DATE INSTALLED: ; _ G _r� �tpFp SUB TOTAL //C �, <br /> COOE � LA'30R AND EOUIPMENTRCNTAL I HOURS RATE <br /> ��n'r`°'�" —�— — ----i—'�-- — �� I1�- <br /> I <br /> �`�i,�,u� I 3 �! c, ; < <_ <br /> --� - - -- ;- ---i, � <br /> --�- -- - _ I - - �� � <br /> � `�� - - -- -- - ---� � -�=�=il �7I t_ <br /> TOTAL I �I�{� ('�� <br /> � REMARI<5: <br /> . ___..—_—_-- , . <br /> -'_- .-. _. . ___'_'_ .________ - _ <br /> /J` `, _ _ __—__'__ <br /> -I- __ . . . �� . ��_Jr <br /> / �._� <br /> � <br /> I <br /> � <br /> I <br /> I <br /> I <br />