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A�PL,��)� APPLIC,:TION FOR SERYICE SEFYICE N° 1 1l5 5 <br /> No. <br /> ,�n�r-77 CITY OF EVERETT WATER DEPT. ���E/��� ,� /�� /, <br /> � FIXED r� / .�. DAT�_� � ,_19� <br /> � DEPO8IT s ��d , '� / , N �• <br /> SERVICi t�r epoJese>�' ' � r ��--C ✓�(c�� <br /> OWNE ��L"� t�-�-�✓ �/ � dLti. LOT _.ADD. <br /> r � <br /> `� CONTRACTOR ��f'�'"'�- <br /> / � �OIT• / <br /> INSTALL(__METERED SERVI E <br /> I HEREBY APPLY FOR THE USE OF WA7ER IN ACCORD�NCE WITH THE <br /> ORUINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING �� �' ✓+ ���I <br /> OR AS SAME MAY BE HEREAFTER CH�NGED. s�cHEo:X��.��-�if� <br /> MATERI�LB Si IN. f IN. I 2 IN. � I^ PRICE AMOUNT <br /> � P��'E OPpER- GALV.•..STEEL __ �� �� / al/� <br /> (LLJ <br /> CORPORATION _ J iI C <br /> CURB (.00K OT � - J�/ <br /> SERVICE BOX PLASTIC -- C I _ I II I <br /> METER VALVE — � - — �-� � <br /> METEf/ No.s03��IG�Zr��7_-TYPE: I�.n¢ ��—I ..w — — � O . <br /> _._�___�_.__ <br /> _ METER BOX CONCRETE MAL LARGE — �� <br /> _ , � �I � — 3�a <br /> _ � � .- ��� '.'_ �, _„ ---,�� -- �'L—L.� <br /> � � � �� <br /> �'-�-1= — �� —� �b� <br /> � � � �---I— � . <br /> �ON <br /> DA7E INSTALLED: 1 ^ _ (, � OFF SUB TOTAL /6/ �/ <br /> (o <br /> COOE I LA60h AND EOUIPMENT R[NUL / I <br /> I HOURB RATE <br /> �2 .LG'. _ _ I �� `J , %.. <br /> i �-- ' � _ <br /> �4� i <br /> (� -�-- - � =�=1 <br /> ' B L�P I� __— -- . � ='�s_ •i�� <br /> I L�iC.._-'_ --_ 3� ii �("II ,-'' I .''.. <br /> I(�-- --_-- -----�—�— -- '� � <br /> _ I n .s'a � z_ � � —i;-� <br /> - TOT�� i a/�in..� <br /> REMARKS: � --' <br /> _ r� � /z ` --�--- �� � <br /> � P �� � � . . __ � �I'-�� . _____---�. <br /> C <br />