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APP�. I 9 39 7 ' . APPLaCATION FUR SERVICE SEFVICE (v� � Q <br /> /9397 CITY OF EVERETT Wi►TER DEPT. o�r�7`""'��2 ,�L <br /> � FIXED <br /> � DEPOSIT S / �� , � /� °�_ _ _ <br /> SERVICE cer r.00neee) _J ��� �-""—"Z2—C�f/—�!�—OLI<. L �� ADD. <br /> OWNER_ —CONTRACTO���Q-1� <br /> ;3� .� �7.� ai,�� ,d�*J=ld.J. <br /> iNSTALL_ METERED SERVICE --._— ---_Y <br /> I HER�BY APPLY FOR TME USE OF WATER IN ACCORDANCE WITF THE i � /-��1� � <br /> Of:01NANCES AND POLICIES OF THE WATER DEPARTM.ENT NOW F.XISTING � ���LF�A111, <br /> OR AS SAME MAY BE HERE�FTER CHANGED. slcNeo: X_ � __— <br /> MATERLILB 3i IN. 1 IN. 2 IN. � � PRICE AMOUNT <br /> PIPE COPPER - GALV.•• STEEL __�� I_ ,� ��I p(p <br /> CORPORATION _I I 1 �o�"j <br /> _I I_+— � _ <br /> CURB COCK OT i <br /> SERVICE BOX PLASTIC -- C I _I _ <br /> � METER VALVE _ _ _ � _I _ __ _ ��_ <br /> METER No.�J07S' J3JOH7// TYP,�.,..,,{� I 'F �• J /�� <br /> ME'fER BOX ONCREiE �SMAL�/ LARGE � _ �I� <br /> -- - ---�iP� � � � 0���2 <br /> , r �__I �_;_ i 3 <br /> — a I I <br /> S,- �,Ly�'^ � `'�`�` / � � / � <br /> ' -�--�—'�— I I � <br /> N <br /> DATE INSTAILED: I � ppF SUB TOTAL ��' �'S <br /> ��n <br /> CODE I L�BOR ANDEOUIPMENTRENTAL I HOUR9 RAT[ <br /> � (2r.,, �, `y ly ' � '' <br /> I � �i � <br /> I +� � =f �i ; I �i � � I—. <br /> ht�.....tO — <br /> --� I � <br /> I I--_ _ <br /> ' ---- I -- I� � <br /> ��� ------- ----- -- I—= — :'- . /o ��.�' <br /> I �-- <br /> 1 TOTAL ��� <br /> REMARKS: � <br /> ' .__ _ —.'_.—__ _—_'—_. .— g— <br />