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APPL. I(�V V � APPLICATION FOR SERVICE seRyi e jV° H 'I O � <br /> No. OFDE <br /> � CITY�JF EVERETT WATER DF.PT. � _ / <br /> � FI ED(� J ��__<i-�7�L/_'fi�'-rl� D0.Y ' L/ -� � 19�� <br /> � DEPOSIT s `- — _ _ )yN�C. <br /> Q <br /> �C \ �� � aLK. LOT--l.DG. <br /> SERVICE (BV AODRI!55) - <br /> ��WNER _ � � - CONTAACTOR.__ �� _ <br /> �_i '.I i ci� _7� :LAT � " „ I � �l_,^-J t.e ���. <br /> -INSY�i � � � ��AGYrRf'_°D SERVICE�_'-'��i't , 1�',(, �! � �!L/2� (t'!t/J �i� y;�-'� 'nLy.e...u.G"ZO.�.•" <br /> , �'"' ..�.-�c_ <br /> I HEFEBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH TFiE -� O /J/ <br /> ORDINANCES AND POLIG[S OF THE WATER DEPARTMENT NOW E%ISTING r� � f:L-q�-�-7 <br /> � .-7.. ,t_.-r' Z� f-; . <br /> OR AS SAME MAY BE HEREAFTER CHANGED. sicHco: YC-�' " /�' <br /> MATERIALS �H IN.I I IN. I 2 1� .� I I I'p��E AMO'JhT <br /> PIPE OPPER- GALV.--STEcL I �. ,�� . I��I� <br /> CORPORATION � I � II I <br /> CURB COCK OT �I I I ���,��, <br /> SERV�-H PLASTIC - C 1 �L I I___ I��� <br /> METER VALVE �_ -{I— <br /> MET[R No. TYPE: I ?5 _ _�— I <br /> METER BOX CONCRETE SMALL LARGE _ __ _� I <br /> I I I I <br /> — I �—i-- - I 1 <br /> -- � ! �-- -- �i <br /> - ------- � -- ---- <br /> i <br /> --- -------- -� - i-- <br /> m/ON I , <br /> DATE INSTALLED: /. 7.� _ / � I ❑ ppp SUB TOTAL I f�b O <br /> L W � <br /> GODE I LABOR AND EOUIPMGtlT RENTAL. I�NOU'R7S� RATE <br /> --I �+✓,_�"!—Q1/i7�S�Jf�— �/�l - ---------I_ �/ � . _ - %(� ;7:, <br /> ! 1.��� � -��" N,i=.-- -�/- ' '� %i I:" ' <br /> --� i i I �- ' �ir-�? l i;=. <br /> ---I���y —�� �- -�� = " �li_ /� I <br /> � � L =,� � %;. <br /> � r- , i / ¢ Io:: <br /> � � — ,. �� i� <br /> �-1�-�- ------ - —i�--- ---�i��-- <br /> —��-2� � I. I�'=- <br /> — I �Z s. ------- ---- � - ' �, ���.'T <br /> TOTAL I I IO J I FiV <br /> REIdARKS: <br />