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APPL. � ' `O � � � APPLICAYION FOR SERVICE SERVIG N° 1 01 2 <br /> iao. oRqeR <br /> .,Z��,�:� CITY OF EVERETT WATER DEPT. �� /' <br /> � FIXED r, DATE�. i v� •7 . �1g� <br /> (. :) � <br /> � DEPOSIT s _.I� �— W.G;: <br /> /� / No. <br /> / � '.�`>O lS�-'-�-'/�P.J .l�i=. 'c�;'Z� — <br /> SERVICE �a�y/}�oDRees)_�- � ' / �LI6,T� /�L0'F'� DD. -� _ <br /> OWNEF2"�"! ,� ^`'_!,. S ..�L� C�l +:-l�!!-'•:� � .a'7-!.[,.c_ '.�/ . <br /> �'. . CONTRACTaR • . <br /> INSTAL /' `!/'-7^ y'�t' _ -� <br /> METERED SERVICE_ <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE '� � / � � � � <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING /`� d -� <br /> OR AS SAME MAY BE HEREAFTER LHANGED. s��Neo: XJ�. �� . r r'j � <br /> MATERI�LS ;i IN. 1 IN, � 2 IN. � I PpICE (� AMOUNT <br /> PIPE �OPPER.. GALV.-STEEL _ .)'��� . _'/.Q I� ��,9� <br /> �—� — i ---�=—' I�- <br /> CORPORATION � II �.�J� <br /> ;��RB�o�K; _I-_I —_�[ 517/ <br /> �— - <br /> SERVICE BOX PLASTIC -- C I _ I I II I . <br /> METER VALVE <br /> METER No.�Y�fI —/OS��Z / "TYPE� I §5 I --- — — ��--� <br /> -�_4� ���`-�L -- --- - - 83 <br /> METER @OX �GONCRETE� .�MALL� LARGE _ � � � <br /> ✓'_ •,t'S'"-G 0.? —i '�-r--r.�.+'=e= �I _ —-- !L I�Q <br /> 7 <br /> - � f � � -- �-I - - - '3 �. �- %�8� <br /> ��� _ ' t- _�I ��.{� <br /> � ; i — <br /> _ --I — — <br /> I i <br /> � ON <br /> DATE INSTALLED: � � �FF �_,• SUB 70TAL /�� �; <br /> -� �. <br /> CODE I LABOR AI�D EOUIFAtENT RENTAL I HOUR9 RATE <br /> ��'o / / -f _ _ — _—Ls`JL � � <br /> I I I�I <br /> � �� " ��! .� ��f_-lL_ _`� � <br /> I� / I I I <br /> I I I <br /> I ' � '� I . � II��� <br /> _. ____ . . . _ <br /> � I I� <br /> L� �� ../ TOTAL .I s��j�5� <br /> REMARKS: , i I t�' . J f (�� �r I '� . - �� � <br /> "�—�,. . — [L_ __ _ _—_ <br /> � � � ' %.i� ' j <br />