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�N'O� � 9!� APPLICATION FOR SERVICE � SERVI e N° 551 <br /> CITY Of EVERETT WATER DEPT, oR�� <br /> ��'�/� ._ - , ,. ; . _�f� �;; <br /> � J' 1 / ��� I LL [ L�l�� DATE" _19_ <br /> � DEPOSIT g_��.l �f�, ' . W`O. <br /> No. <br /> 7 / �v <br /> / __ <br /> 3ERVICE (BYAODRE88)_�� �L '' � � <br /> 3 { / —�_ '- / BLK. LOl /�I ADD__ <br /> ��/NER- ��%' ,(� . _ ![� �:. -�. .`. /' . CONTRACTOR_ i <br /> t Il� .� l/� F'AT_ � . �j —_— — <br /> 1NG7AL-C ^••.BERVIC:E�� i. .�a: C�� ♦�tl� .'_ [[�c ! �. ��..r-�ZJ�-i _� �__ <br /> I HEREBY APPLY FOR 7HE USE OF WATER IN ACCORDANCE WITH THE � '� <br /> ORDINANCES AND POLICIES OF THE WATER DEPARiMENT NOW EXISTING = � i <br /> OR AS SAME MAY BE HEREAFTER CHANGED. e�crv[o• X_�j�i_( �_' ( � <br /> MATERIqlS �' IN. f IN. 2 IN.� I <br /> I PRICE AMOUNT <br /> P�PE COPPER GALV.-STEEL � I .5 , G� <br /> CORPORATION � ! I /f <br /> 1 <br /> RB COCK I I 7'f /77 <br /> SERVICE BOX l�LASTIC -- C 1 I � �'�— <br /> METER VALVE _ — � I --'— �I � � S� <br /> METER No, _ TYPE: I ;{ I I — <br /> METER 60X CONCRETE SIdALL LaRGE I I <br /> �// I <br /> S1/s-s;�Gs/— � � �I�D <br /> _ I_ � <br /> - - i - � k��. <br /> � - �- <br /> I I I I <br /> DATE INSTALLED: _ _ I � OFF SUB TOTAL �/ // <br /> CODE LABOR qNDEQUIf+MENTRENTAL HOURS RATE <br /> — I - --- -- � � _-�1� / " •- <br /> � <br /> ,:��",u...�-_ I 3 _, ��: �i�_- <br /> -�v --- -I .� �J' I;,, - <br /> ��- -- ----- -- ----i� ��. ���i� � - <br /> _ , � �i-- <br /> REAtARKS: TOiAL y�I�J _ <br /> —'_—_. ._-_- <br /> '___'_ .—____._- '__- _._ <br /> . <br /> _-•-- <br /> .._- _'_'___"__""___—_ -_ . _. J <br />