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NoPL ✓` ��s�'�-7� CITY OF EVERETT gERVIGE r�i� - - <br /> OROER �\- sQ08 <br /> APPLICATION FOR WATER SERVICE <br /> � FIXED � DATE_�_�p� <br /> �� <br /> � DEPO�IT s �75U W. O. <br /> No._ <br /> SERVICE (�Y Aoo�p��.�L�—Lu I ` C��,I��BLK._ LOT ADD._. <br /> � v I.. ' <br /> OWNE I� l�!% <br /> ---1 Y�l _CONTRACTOR <br /> � —_ <br /> INSTAL� ETERED SERVIC r__— j�'� 7 - <br /> I HEREBY APPLY FOR TNE USE OF WATER IN ACCORDANCE WITN TNE �. �"LCi� .V��'��C�LKN �—_— <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING <br /> OR AS SAME MAY BE MEREAFTER CH�NGED. ncwco: <br /> MMUTAL� 1G IN. 1 IN. � 2 IN. PRIC[ � AMOUNT <br /> PIPE � � _ <br /> CORPORATION P����6/rQ7 Z_ _� �� � <br /> GURB COCK OT I I <br /> SERVICE BOl( PLASTIC •• G I I <br /> METER VAWE ����O�j' / <br /> L��-T G� JJ3.�-_'r7!_)-A _e �{ - .1�-- -- - --- -- -- <br /> METER No./1�/ • . ��U1L?/ TVPE:/�cIU��Y/!K _. _I �OQ'_'- __ <br /> METER BOX GONCRETE SMALL LARGE { � I <br /> Dl D � aeTto� - ------,— -- — <br /> / I ; I <br /> �C� _ o;� ; �' , --- -%I ;— <br /> �n�lP:3/� � � ` �", �� - L� -l- <br /> > o -- � �i _ _i_ _ <br /> ,._ , <br /> - ' �+`-io . I I ^ <br /> /' ON <br /> DATE INSTALLED: 7 �J I � OpF �J(���� SUB TOTAL <br /> v� <br /> C4DE � L OR wHD EOUIPMCNlRCMTAL � HOUR! R�TC <br /> i �i�.�7S'S � - ---- � QQ S:__ � <br /> I � i � �� <br /> -- z1��1- � � --- <br /> ' - ��=�-;� <br /> ' ---- -----3-��'-� - --- -�� . -- - <br /> � � <br /> � — ----i-- -- <br /> TOTAL <br /> REMARKS: <br />