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APP� ' � �' ' APPLII:ATION FOR SERVICE <br />•"°. GITY OF, EVERETT WATER DEPT. <br />��':�// . , 1 <br />� FIXED ( �J ;,���'��.� ' ' <br />� �EPO51T g/.:� c.�� � — —___.— __ . ..___ <br />/ i, , <br />��/ „ /, / (C�'�G�/L.i �,r_� . . OLIC.__ LOT <br />SER' :CE (e� aoop¢55)--�< < • <br />O�NER�—.T---- -- --CONTF:ACTOR <br />�( 1[l�;� _i'�.• FLAT � _�_ <br />INSTiaC�- -' _—METERED SERVICE_ -- - <br />I HEREBY APPLY FOR 7HC USE OF WATER IN ACLOR0�INCE \YITH TNE 1"/� �Ifu'- <br />ORDINANCES AND POLICIES OF THE WA7ER DEPARTMENT NOW E%IS71NG s�crv[o:X/-=--� _ <br />OR AS SAME AIAY UE HEREAFTER CHANGED. ,�f-- <br />MATERIALS ii IN. I 1 IN. I 2 IN,- <br />�—� � -t I � � �� <br />PIPL' <br />CORPORATION <br />SERVICE BOX <br />=--C, �- <br />�dETER VALVE <br />METER No. <br />METER BOX <br />GALV. -- STEEL <br />CI <br />TYPE: I '� <br />CONCRETE� SMALL LARGG <br />r n • <br />� <br />� <br />� ON ( <br />\ <br />DATE INSTALLED: � ' � � ' `7U n OFF ��'�LC�--���F'�� <br />COOE � LABOp AND EOUIPMENT RENTAL <br />� �7 cC-L% C� �` _ _ _ _-- — —_ <br />i, <br />� -- <br />- I �,� .-�-�- <br />' ----- -- - - --- <br />SERVICE N° 1 3� 4 <br />ORDER\ .. <br />�' . <br />onre �—``�" '_—`,=ts �'' <br />W.O. �/ <br />No.— _ ---- <br />'( � L�—��'\, -_ <br />aA1cE 0 AMOUNT <br />i <br />� <br />SU� TOTAL /- � <br />HOURS � RATE I I <br />_� —_ �� � - <br />-- - — — i — <br />-- - --- , <br />II _- <br />_- --- , ---�- <br />II �f-� /:� <br />-� ' <br />