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APPL�/��� APPLICATION FOR SERVICE SERVICE j�° �I �3 ,` ;� <br /> No. OftOER <br /> ,,, CITY OF EVE9tETT WATER DEPT. / - <br /> � � ��- <br /> �i� ���o��.��y�� DATE_� _ —19= <br /> � ❑EPOSIT 5-g�`� � - /�� ' � No� _ - <br /> / / �/tIG ptJi/7 <br /> SERVICE (ev hoDREs9)���f � 7��`�/` � /���� -OLK. LOT_J ADD._�F�-��`' <br /> 1 � <br /> OWNER_.._/�'�����' ��' LL ' �----CONTRACTOR � '��� - - <br /> i �� FLAT <br /> INSTAL '�Y3LFERtD SERVIGE-. __ - . — , <br /> 1 HEREBY APPLY FOC THE USE OF WATER IN ACCORLANCE WITH THE // s ( / <br /> ORDINANCES AND POLIQES OF THE WATER DLFAR7�1'::F7' Y�W E%ISTING (/ �J�� ���„ ��1, � <br /> OR PS SAME MAY BE HEREAFTER CHANGF.D. SI�:+E .<l- � - <br /> ItATER14L5 �i IN.L1 IN. I 2 IN. I I I � fiICE AMOUNT . <br /> � ! �I ` I I <br /> PIPE COPPEF�GALV.-- S7'C:EL 1_ I I� _ <br /> -� . '.:..DRATION __ _—'-1_�— I i_ <br /> CU�9 COCK OT �I_I II�� I_ <br /> SERVICF_ DOX — PLASTIC -��� �� - ___L�I - -- _�I— I_, <br /> METER VALVE __ <br /> METER i:0. TYPE: I 36 _ <br /> MSTEf2 BOX CONCRETE SMALL LARGE � � I <br /> I <br /> I I I _ <br /> � I � <br /> — — —i— _ — <br /> - I--'� �=1-�- <br /> � ON / <br /> DATEINSTALLED: L/ / / GOFF��f� �,i;..: SUBTOTAL <br /> � / `/ ^ <br /> CODE I . LABCR ANO EOUIPM[NC PENTAL I HOURS FATE I <br /> I _ _.11��/c�- -- .���� �� . <br /> �= ::; � ____.1 -- <br /> � �� <br /> q �. � � ''--.�1�-__ � � <br /> l�N�� ,����_ - — � ' --�, � <br /> - /c(� � --� _ <br /> I — — -- _— _---- ---I� —— ----{'—I�� <br /> _ 'i �� !- � ; � - <br /> TOTAL <br /> RENARKS: . - <br /> �>�/������/ —_' _- __.__" - - <br /> _ __ ._-_-�_-�� E ,C��__-__ .'—____ ' - <br /> � ... . . . .. . _ _ _. .__� _ <br /> - i� <br /> � � i � ��� � 13� � � � �S 3�� �� � � t <br />