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� APPL����� APPLICATION FOR SERVI_E SERVICE N� zz05 <br /> No. G ( <br /> CITY OF EVERETT WATER DEPT. oeoeR <br /> I �Fli(ED DATE_ � !� � <br /> i � � �—__In <br /> i <br /> � DF'OSIT s ��% <br /> � - W. O. <br /> ! No.__ <br /> � SERVICE (lYAODPE68)C���.��CJQL(�/�_�CIQ� BLK. L0T6T Vl1L.L-�.�(�J/C7f� <br /> �� ,(���y-y AD�. __ <br /> OWNEFN=L4KJ �M ���1GlGl_ _CONTRACTOR_____,__________ <br /> I INSTAL�METERED SERVICE-._-.__ __ <br /> I 1 HEREBY A� LY FOR THE USE OF WATER IN ALCORDANCE WITH TFiE �(� <br /> ;� ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW [XISTING /L ,//,(���/ ) � <br /> OR AS SAME MAY BE HEREl.FTER CHANGED, yi�HEo: X ��j��+,�n_�� /'l'Ga�l"'-"o-� -_ <br /> � ^-�-i r % <br /> MATERIAI S � IN.� � IN. I 2 iN. <br /> � I PRIC[ " AMOUNi � <br /> I PIPE _ COPPER•-GALV.-•STEEL I I <br /> i - � <br /> i COF�ORATION ____ ' I I I <br /> � GURA COCK OT / I� -- -- — <br /> � SERVICEBOX� PLASTIC -_CI' I I I -"" <br /> � METER VAWE �— —� <br /> METER No. ._--.-___-_ _ _— ' _�--_ __-_ ___._— _-._ <br /> �--_---_-_.-_�._ . 7YPE: I ` —_ <br /> � METER BOX CONCRF.TE SMALL LARGE � <br /> � __. -_ -__ --I _ —i ___ <br /> jI---- I �Ji' — <br /> � I —JJ_ -_- <br /> �---__ —_-___-'_ __- — <br /> — I'- � <br /> i __- _ -_.___— I � _ — <br /> � I I <br /> LLi .ON <br /> ' DATE INSTALLED: S-_ ?-J� I � OFF SUB TOTAL <br /> t— <br /> � CODE I LABOq ANDEpU1PMEN�q[NTAL HOURS RpTE <br /> I--� -- --- --1�.'�-.I��u�,v--_�-�..-- <br /> � � I � -- --- <br /> f-� - --- = ,.,_z l____ - --- - ---- - <br /> i -- ---11;���,--- -� 7_- -- -- <br /> � '- _ _ ���rr -_�Z- -- - <br /> I �_ '�- ; '`' I�-- <br /> i=�--------- ---- - - - - <br /> ---- --- - - <br /> _ -- --I-- - - --- - - <br /> TOTAL <br /> � REMARKS: ti � --f-, � <br /> /, // t ' _�__ /� / � <br /> 1-__—_'_ ° � .�'l�-G-�U.-�L�1_+"+t`'� // �7i_,j%:"C//p�__- __.�cC�rl—(',�'i /� lriL G/�.t, <br /> i rt .� �i l���1:c -- �f !, � / <br />