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SERVICEN° 1103 <br /> 2 i/� O APPLICATION FOR SERVICE p�yDEP. <br /> APPL. O. 7 0 G� <br /> �O� �� CITY OF eVERETT WATER DEPT. DpT �/�2—'g— <br /> �FIXED W'�' --- <br /> J � J Ne._ <br /> �SEPOSIT S/ J' v J .' � � '-- <br /> ., � (. � G� �/.J ELK. LOT � DD. <br /> SERVI.E (eY DONut) GONTRAGTOR A� �f� � <br /> OWNE!'• � �� '- <br /> INSTAL� - � -METERED SEF.YIGE- �r� � /� <br /> �--- 1 -�"�.1' <br /> I HEREBY APPLY FOR THE '15E OF WATER IN ACCOR�ANLE W�TH THE slcNeo: X <br /> ORDINANCES AND POLICIES OF THE WATER DEPARI'MENT NOW E%ISTING PR'CE AM�Nr <br /> OR AS SAME MAY BE HERE1IFTER CHANGED. � �N � iN. I � �N• � IIJ-� S�(�� <br /> MATERIALe ---1 ���III <br /> COPPER•j GALV.-•STEEL _G,/__-I II �y�� <br /> PIPE �— _ �'--'�� <br /> CORPORATION �---�-- --� _ �Ii� <br /> CURB GOCK �T �-�- II , <br /> SERVIGE BOX PLASTIC -- G � - � � S <br /> ' ME WE _�_ -L --.- — _--- __ � <br /> ���. METER No. iil _._�a /� 0 /fYPE: '�� 4f -1-- ___- _ k�h <br /> � SMALL LARGE b__ I I <br /> METE� CONCRETE ' _ — I— — l— <br /> I (�� <br /> . � -�-I _ �I� <br /> n -f + h_��y t t if.l.�DoL C �—II �I <br /> 1fr9TCTTr t, - � �- <br /> ��_� --_--_--- I I.�� <br /> I � ON gUB TOTAL � <br /> , _ / • � �OFF �C- , .. I� 1--. <br /> DATEINSTALLEO: _. , HouRa`�-R�ATE -I <br /> LABOR AND EQUIPMENT RENTl�L �I _ <br /> CODE I - __�-_� .^ I -� / <br /> I �.lL:=�, „ ; :, <br /> I�-- ��l c� ���—r-------- i—�- —=_�:��� <br /> �-------�-7 � _-.----�� - , vll_ 3 11!;o <br /> -- - `' <br /> I� —�_— � <br /> I -lj=-�.'- - �I`_ - <br /> — ----�— <br /> � I <br /> II __.__- -__-__----__.-- TOTAL I 7� G�� <br /> U i � � --- <br /> ,. <br /> , �d-,-� �. v�-d'� — _ — <br /> REMARKS: - -- - - _ __ <br /> �;, � p� ��' %,�-..�/__ --- <br /> ` �=--- <br /> '`�---- <br /> �zi _ - - <br />