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� � � <br /> m � x <br /> C ti <br /> > H (n <br /> y � H <br /> tt C] <br /> H 7J <br /> '��] H � <br /> f/1 H <br /> [�J O� <br /> HV <br /> OH <br /> Hh70 <br /> �� n <br /> H C <br /> 9 � <br /> H �+7 <br /> r� z <br /> Hy <br /> ty [n <br /> Q H <br /> n d� SERVICE <br /> �� r, APPL. '7 � p5 �I CITY OF EVERETT or�oert o <br /> zH � No. �- O � qppLICATION FOft WATER SERVICE (�1_ 5606 <br /> ^ = , c , <br /> DATE._�(�.s-. -19.c_a <br /> HOtn <br /> �Fixeo <br /> G� d°� W.o. <br /> � DEPOSII' s No. .l --� <br /> J( (�7(cIq S� �ve� L[���e SHrJ'41 /�ir'}�M Pn(J <br /> SERVICE (HYAOOPE86)���ry�� -(—R�L I�e1 I�"S �r � BLK._ LOL_ADD.— --- <br /> {�y�,,y�, �I'LL�a••1'�C'II � �J� „ �,,,o.;�y. CONTRACTOR—.- - <br /> OWNER---tJ-�1-l���--�'1'i-1ILL C1Q <br /> �� FLAT._� <br /> INSTALI� � METERED 9ERVIGE-__------ --- �- � � - <br /> I HENEBY APPLY FOR THE USE OF WATER IN ACGOflUANCE WITH THE / / ,..�,�.�-(/� <br /> OROINANCES AND POLICIES OF ?HE WATER DEPARTMENT NOW E%6TIHG e1cNEo: %�-�[�l ""�-�`---`--�7 -�-' - —�� <br /> OR AS SAME MAY BE HERERFTEfl CHANGED. <br /> Si IN. 1 IN. 2 IN. � PRICE ' AMOUNt <br /> MATERIALS I I <br /> PIPE COPFER-- GALV.--STEEL__ _ ,_`____�I�___.I— . � — <br /> ' ��� CORPORATION �_ �' I_ I ---- --� -' --�- <br /> I �Oa GURB GOCK OT —I � I - -_ <br /> � � SERVICE BOX PLASTIC -- C I I �---- --� --' <br /> I '�1 METER VALVE �] III"- - . .- --- -- --...- <br /> __—_'. . .-.____._. <br /> ��' METERNo. � O + TYPE� /'CUSl1J!✓J-�-"--" -----�-- _-.. ._---� __ <br /> �_(---� --- - - '� <br /> METER BOX GONCRETE SMALL _ LARGE _ ___ _ ____ -__—_ <br /> __ -_ I —�I`— —_ <br /> I +�� _. _ — '_I I I __— _ — <br /> � � J'_ __ __'_ _—__ <br /> i--I,'�- -- -- - - <br /> ��� � -� � -- <br /> - - ' �- --- -- - <br /> -- -- - --i ---�,- ---,- - <br /> � ON <br /> //�/[/_ � � I � OFF SU9 TOTAL <br /> ��'-_' �ATE IN57PLLED: � <br /> COOE �I <br /> LABOR AND EOUIPMENf RCNT6l I MOIIPS RATC <br /> — _�ve.i � — <br /> � <br /> ------ — - <br /> _— -- -- <br /> — --— — — -- <br /> �o,,.l = �3��a33__7_z __ _ �---- - - — <br /> � - - <br /> � -- - <br /> — - ---- - � <br /> i - - -- - <br /> ---- _ _ __ - -- <br /> --- - _ __ __-- - <br /> -- --- - <br /> -- ---- - - � <br /> � - <br /> — TOTAL <br /> REMARKS: _ _ ... _ _ . . - - ' <br /> 'ti <br />