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qpPL I '��• _ APPLICATION FOR SERVICE <br />No. <br />�� �� � CITY OF� EVERETT WATER DEPT. <br />0 FIXED' - � � <br />_ 1. l;' /L_l .. i lt�. �' . ' ` . <br />� DEPOSIT g �r; � � /�..!. <br />/� �l <br />SERVICE (ev wooResr � � �(,�` — �1���—eLl<.— <br />O �ER -__CONTRACTOR— <br />i� �:.; � � % FLAT <br />rN3TAt=� �� v METERED SERVICE --- <br />I HEREBY l.PFLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINFNCE5 AND POLICIES OF THE WATER DEPARTMENT NO1V E%ISTING ,.�;�, <br />OR AS SAME MAY BE HEREAFTER CHANGED. stcNeo: � <br />M1I/.TERIhLS .��� � -jc�•� L°S IN.� 1 IN. � 21N. � <br />� I/ f _�� <br />PIPE ! GOPPERJ GALV�•- STEtL �/ � I I <br />CORPORATION <br />�� CURB COCK <br />--..a.��.—.,_ <br />SERVICE BOX <br />METER VALVE <br />METER No. <br />METER BOX <br />CI <br />_____—.—_- TYPE: I `r <br />GONCRETE � SMALL LARGE <br />DATE INSTALLED: �I/ �Z. <br />CODE � _ <br />1 I R" 0 `� <br />,-,�; a �. <br />Ks: / �� / � <br />-�---� <br />-- =I= . <br />A <br />i <br />o ^ <br />SERVICE N_ 1 3 0 <br />ORDE - <br />DAT � �l, �L-.� .�� 19'�� � <br />w. o. ( <br />No --- <br />- �_ / <br />,'��`iL _--: ! <br /><.�..•.l�r'�(: :'e., . ... <br />PRIC� � TAIOUNT <br />3 <br />� � /� I � -.. ` /) SUB TOTAL II �� <br />v OFF \. . I �' �' i^— : L_, <br />LABOR ANO EQl11FM[N f REN'fAL HPURS RATE <br />I l l l <br />—__� ����� <br />� " <br />,9 ; ��' N ,:� I � <br />----i� — J I��_IO i , <br />i <br />--- -- ---- <br />— - — — _ �,�—I <br />— --- �___ — <br />�I -- -- ll �_ <br />TOTA II �✓ I L <br />i ' � • <br />� �'._�l __._�. �-- ----� ��—..n L..- <br />. <br />; ' _ _ _ _ `' �`' <br />• � � � , . � _. <br />