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APP�_����J -i <br /> No. , :�� h �7 CITY Or EVERETT srRvicc <br /> APPLICATION FOfl Wn7ER SEFVICE �KDER NC. .�; % .� �1 <br /> � F•ixeo <br /> D DEPOSIT s sOo—_ WAG����'B� <br /> �3 NO w <br /> SERVICEcbVADo�E���jjr `ij_ � �� _�_�� yy' �t <br /> ��' // ) —__BLK_-7I _L T .��..�`&fil dle� <br /> OWNER U' ��!�-� �J� / v DD <br /> �i �� FLA'P CON7RAC70R _ <br /> INST�.��✓ �.<t �jE.yERED y'tiin_� — <br /> �.�-_--____. ... . _ _ . _ _ . __�' <br /> I HEREBY APPLY FOR THE q5E OF WATER IN ACCORDAN�E WITH THE �— j <br /> ORDINANCES AND POLICIES CF iH! WATER OEPARTMENi I.OW E%ISTiNG <br /> OR AS ,,,ME MA'• BE HEREAFTER CHANGED. U J �` / ' <br /> PIGNEO: 7(' Y-_�[Y'(�'�/ . �•� _ <br /> �1 � MATERIALS —t—_J�—'— - ��L <br /> }i IN. 1 IN. � 2 IN. � <br /> FIP � �� I PRICE AMOUNT <br /> _ __ COPPER - GALV.--STEEL �� j�l <br /> CORPORATION I — <br /> CURB COCK OT —I '� <br /> SERVIGE BOX PLASTIC -- C I � - - _ <br /> METER VALVE '\ Ir� e � �Y � -- � --- — . <br /> ! �,r __—.__—_.7_. _._—.-� <br /> ME7ERNo. (,.�_=�:,i_y�r^f`FE:�{'�_,{.Q-C� �� -- — — <br /> METc:R BOiC ' � - "�'-- -- I— — _� <br /> ����CONCRET�,�.J qLU LARGE � <br /> �i b�,C.t `.A'fW�N. /� 1� �_�� ^ �" __.- __.____ _ — <br /> � .� l� i'. I —I — <br /> a � I �.�.___ <br /> t: " , Y .., ,.� — <br /> , ;i ,� :�, . n�, ; : _- � --- � �_ <br /> s ��;-� ' —i — — — <br /> - I - - <br /> ----- —C L i I= - -- <br /> C;,TE INSTALLED: `� i� `�'� I � �h'_— — <br /> i � (�I � OFI' SUB TOTAL <br /> CO=E �_— � LA60qAND EOUIPn�ENfRENTAL <br /> i I HOURS RAT[ <br /> I /�� <br /> I __—____—_ __— . '_'._ 1fiI�V` :iil.'QQ — lin �-..� <br /> --i- _�rt.� --� 6 -_ _ <br /> '--- `�� �/--_��.�2� I 6_ -- _ <br /> -i - ------- �- <br /> --- <br /> I <br /> � -- --- <br /> - - � - _ _ <br /> � - ----- - <br /> _ - --- -_- -� _ - - � <br /> REMARKS: TJTAL ' <br /> --��_ <br /> �'7 <br />� � .r. <br />