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APf+K.f.'.fY7 Ee i� � , <br /> No. �"' " " i �CITY OF EVERETT SERVICE <br /> AP�LiCATION FOR WATER SERVICE oROE,' NO. <br /> � FIXED f <br /> ,p DATELI�'L;�____�—18 7'�. <br /> � DEPOSIT g ���j � l� <br /> -___-.._—__ W. O. <br /> N <br /> �L,� 7-U�.� p .5 •y og'�•�—_____ <br /> SERVICE �er//wo7�n¢as�_�/j�7-C�_____JL� BL�J� � <br /> OWNER__. `�4 ,./L� �/—_�___tr — 7�— CfL�T��—`= --nDD._�G��/'/-�� ^^� <br /> ���€�`�-�i ��+LG. _ _CONTRACTCR—V_ �Z a6LL•%� / <br /> INSTALL� r 'La�� . __. ._.--.— - -- <br /> /�L—METERED SERVICE—___. _ <br /> 1 HEREOY AppLY FOR THE USE OF WATER IN qCCORDANCE � � <br /> OROINANCES AND POLICIES OF THE WATER DEPARTMEN7 NOW�EX6TTNG � � � ,-`/ <br /> OR AS SAME MAY BE HEFEAF7ER CNANGED. � '9i�NEo: X � 'l� � ��Ly <br /> .__ ..,Lw,_ . <br /> M/�TERIALS I � IN.� 1`I _N. � 2 IN. � . <br /> I ' i�I PR��E AMOUNT <br /> ..PIPE ��S/� `_ � COPPER— GALV.--STCEL I�3� � I I ' � : <br /> __—_--_— ____.__ / _I—_i_I_ _ <br /> CORPO N • --� <br /> CURB COCK OT / ! ' — -- <br /> SERVICE BOX _ pLASTI__L � J I — - <br /> METER VAWE -- <br /> —___—. _. -_ ._._.—. __.__' <br /> ___' _—_ <br /> i —_ _— ___ <br /> METER No. ......_.TYPE: .. I �s -�-- — <br /> .______. _ . _—_ <br /> '—"_'__'_._"—.-_—. <br /> METER BOX CONCRETE SMALL LARGE -� <br /> y.,y�D7�--- --- . � � _I-I-- - <br /> ----- � i,--- -- — <br /> — - --- I �—�— - — - __ <br /> — -- <br /> ----- - -- _ --�--i � �-- -- — - -- <br /> ----- - ---- --r--� ,� -- - <br /> ON <br /> DATE INSTALLED: �' � `��3 � OFF <br /> (J SUB TOTAL <br /> COOE �i L�p00 AND EOUIPMEN�RENTAL � <br /> HOURg q�T� <br /> � <br /> __� -_"-___ __ u�=�_-_--__�- ��___' _ _— <br /> -- ------- - ,�� tvHiT/�' - � <br /> - --- <br /> -- - — _ -- <br /> - - ' <br /> fj' - ��'�x'- )�— <br /> -— <br /> � � _� ll _ a .� l� -- <br /> -- ,�.,� . _— � <br /> — , - -- <br /> — - - - - -, -�' ��-- �f-j — <br /> _ - -- - -- <br /> - - -- — _ .,��v /��Sy�/./ —. � <br /> TOTAL <br /> REMARKS: � <br />