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qppL. I"D��� APPLICATION FOR SERVICE SE7.'VICE N° 1 0 G C� <br /> � <br /> �;� t{ �/ I • CITY OF EVERETT WATER DEPT. oR�._R <br /> �FIXED <br /> onre��l�_ta��. <br /> � DEPOSIT s �SI G-� .l W.O. <br /> � No. <br /> � 7 �' a �' ."�_z�-t-�-�... <br /> /� � / f .� <br /> SERVICE f.Ar�oDacea) ��""�� � �'"�' ��{'� '� � BLK.�LOT—LADb.���'r ���� <br /> OWNE���^r�� � �AQ�IGLL—�� J� CONTRACTOR _ <br /> ��� �iwkT <br /> INSTALLL`'�METERED SERVICF /• <br /> 1 HEREBY APPLY FOR THE USE OF WA7ER IN ACCORDANCE WITH THE / � % <br /> ORDINANCES AND POLICIES OF THE WATER DEPANTMENT NOW E%ISTING �! , /� (�!./ i <br /> OR AS SAME MAY BE HEREAFTER CHANGED. sicNEo: X � _ <br /> NATERIALS I �/i IN.� 1 IN. I 2 IN.� I � PFICE AMOUNT <br /> l p <br /> PIPE OPPER•- GALV.-•ST[EL � / �O a3z <br /> CORPORATION � I II_� �j <br /> CURB COCK OT I —II, I <br /> SERVICE BOX PLASTIC -• C 1 I iI I <br /> METER VALVE � 3 ti <br /> METER No.i2�.1" ^ l.F(� 'r 7 �7YPE:�� u �.i I � - - —��.. <br /> i <br /> METER BOX CONCRETE �SMALL_LARGE � L � <br /> � I I <br /> _i �_ _ i— <br /> I —� <br /> �I I <br /> � ON <br /> DATE INSTALLED:;a , , G � � OFF /��CI . SUB TOTAL �.[ <br /> r 7 <br /> CODE I LAOOR ANO EqUIPMEN�RENTAL-" � HO�UN6 - RAT[ I <br /> � l��7 I� <br /> I I �� I <br /> I C / ���c _— _'_I.si__ II I <br /> I I I <br /> �,J� ? - — � � _,,� �I " � �� � <br /> --i -- - ---I {� <br /> � � - TOTAL I $JI�� <br /> REMARKS: � <br /> __—_ ' _--_ — <br /> �/� �d J � <br />