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AFPL �,�J��G qppLlCaT�ON FOR SERVICE <br />`�'' �) CITY OF EVERET'� WATEf: DEPT. <br />�(J �: � / <br />� FIXEL� , <br />� DEPOSIT g ���. �' .'.. , <br />� � . <br />'�C /' �r'G �iC-C�!-l/ v'V�':i�� BLK.— <br />SERVICE (BY AOORE56)' ,. � <br />CONTRACTOR <br />OWNER — <br />�)/! � FLA�a3ERVIGF - <br />INSTALI.-� � . <br />I HERE7Y APPLY FOR T4F. USE OF WATER IN ACCOROANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WFTEfl DEPARTMENT NOW EXISTING g'�yGO:X— <br />OR AS SAME MAY PE HEREAFTEf'. CHANGED. __ <br />TIATERIl.L9 �N IM1. 1 4. 2 IN. L <br />C��PPER -. GAL\I. -- uTEEL �7 '� II—� <br />PIPE _�-: <br />CORPORATION — -� <br />CURB COCK OT <br />SERVIC�O —�� PL`�� �� C � <br />METER VALVE _ __ ._ �--- � —�— <br />7YPE: �° <br />METER NO. __ _____ � — <br />SM.4LL LARGE <br />METER �GX CONCRETE — <br />�- T- �Z. <br />E <br />SER�'ICE j�° 8 � n <br />ORDER <br />, �la.�, . =_� =i s��7 <br />DATE ^ <br />Vl. O. <br />N o. <br />/� .y���,,G�<:.� <br />PRICE n AMOUNT _ <br />----I-1- I � I I I _ <br />, <br />/ I � oN <br />/ _��-. I � t., SUB TOTAL <br />� /I G , �, %' �_OFF C�..,. � <br />DATE INSTALLED: , <br />� HOURB RATE <br />LAOCR ANO EqU1PMENT RENTAL �,.�- , <br />I <br />CODE I �---�� —fl " � <br />�� rl r.i... � _ P 1 . -- � � �� P - � • - <br />�I <br />� ll I• <br />Ili I <br />I <br />'// - <br />REAIARKS .� � ` �- f--� -'- � - -•- - � <br />_�_-� i — - � �' I I� _L !� , r i �._-__ _ `.'+-___ <br />-� �/r , ._._ _ � C�_ _._ " ,� `� 1 ... � . - _-. _ -.- -- - <br />