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'°'P�'�- //��� APPIJCA"r�ON FOR SL•RVICE <br />No. • <br />/qg� p CIT'r OF EVERETT WATER Dl:FT. <br />� Fixeo <br />l <br />CL <br />� DEPOSIT S ���.,_ <br />�_— <br />SERVICE(BYAODnEe9) �T� �� __��"�w�'� C��'!BLK._ <br />OWNER CONTRACTOR�/ <br />� FLAT �� <br />INSTALL� MiifMt'SERVIC� <br />I NEREBY APPLY FOR 7HE LISE OF WATER IN ACCORDANCE WITH TNE <br />ORDINANLES �ND POLICIES (�F THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. sicNeo:X �,/G <br />MATERIAlS �,'� �ry• � �ry• I y �_ N' I <br />P�PE �COPPER -GALV.-•STEEL �G� I <br />CORPORATION � <br />�CURB COC -- T � I <br />SERVICE BOX �P A TIC -- C I / I <br />METER VALVE <br />METER No. <br />ME"'ER BOX <br />TYPE: � i; <br />CONCRETE SMALL LARGE <br />- ., ..,/.-,�G, <iG� ri - 5.9 / <br />I� ON <br />DATE INSTALLED:/ _� r`, J � 6FF �, '! <br />CODE � LABOR AND EQUIPMENT RENTAL <br />REMARKS: <br />SERVICE N� 1 � <br />ORDE ! <br />/ <br />DA ��� � �� Iy1L <br />No. <br />PPICE II AMOUNT <br />.� <br />SUB TOTAL I �/� ��� <br />MOURS RATE <br />_3 J�.Sin,r} �p jc� <br />� _3 �=oi`�,� `I �I <br />i! � <br />-- , I <br />— �j i — <br />— ---�i — <br />'roTn� I _rl -, ��5�/ <br />