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APPL.'"�55� APPLICATInN FOR SERVICE"�"� '� seRvi (1�? 2( � <br />No. oao <br />� �� CITY OF EVERETT WAT�R DEPT. - /��J <br />❑�IXED � D E `�_i�. <br />r�+r DEPO5IT 5/f"L���. `�� W. O. - <br />XN _ <br />J� /n� �� /� ' �G�"�i�i�S��..l�f.V� <br />SERVICE (er/ � s) ��L�E> � r� «+t LIC.__LOT �D�. ����� �• <br />OWNER �~� ' � CO TRACTOR ��r� �n��•«l C�-���- <br />� �/ —��-.ai.vi�� t,. ^'3 -�...o %� 7)u-EG uy:,�.. _ <br />.1 ' . a. <br />INST.4L TERED SERVICE!t-��J-r--n� �'�=� C�--�v��i�c.._���� . -- .��;i7•�� <br />I HERE9Y APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE �-r h�f ' %��� <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMERT NOW EXISTING �,.y, �_�- �-� <br />OR AS SAME MAY BE HEREAFTER CHANGED. sicrve�: c_L-V_L J �� ' «�'// <br />MATERIALS I�a N. 1 IN. I 2 I . I � qICE AMOUNT <br />_ — /! ' �/� <br />PIPE COPPER �- GALV..- STEEL �.� � J� IJ�J <br />CORPORATION �„ � I II l J// � <br />CURB GOGK OT I_ _ �I� <br />SERVICE BOX PLASTIC -• C I I I � <br />METER VALVE _ .*/<<y.;_1�, f:, ,�,... _ � �F� �I <br />�, ,, __ <br />METER No. � ^��J- u�; ., � TYPE: ��%. . � I +6 � ---- �'I�� �7�� <br />-. � _+.- <br />METER BOX CONCRETE.- .,�� SMALL��LARGE � �L�%�, <br />_ — � � — .'l,G: I G? �.1c' <br />=�>,, �—� � � � i,� . <br />r �� � <br />,-,,.., ;,<,; ; ,�: <br />! I I� <br />.!!K-iv � � <br />–_ —_��, .` . If I� / �•��, . <br />I I I I <br />ON <br />DATE INSTALLEO: . I �--0FF SUB T07AL ��� ��i� <br />. �C i J.� <br />CO]E ' � L4t OR qND EqIIIPtAENT RENTAL HOURS RAT[ � <br />i I , I <br />------ ----- --- — --� � � ; � ,. <br />I `���:�c.�,:..'' ----- ��—�i �" I'� <br />I � I � _ : '�_anl' �'' <br />. ' _�_�..-� -----��-�- �� r � R: : �I .C�.._ . <br />'— ( .. ` - I .: �, . I :' . <br />_— � . ! ;' L—/ ( . _ / . li__ _ ; .. <br />i-_ -_ _'- � �� <br />TOTAL ,� ..�i�/I�' <br />� <br />REMARKS: ' ' . <br />� <br />�c�� � 02�_-�:--- ` -- — ', �,=>i, �_-_ — _ .� — <br />