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SERVIGE O <br /> APPL. �' �� y J� CITY OF EVERETT OROER N_ � O � E ' <br /> No. <br /> APPLICATION FOR WATER SERVICE �} � <br /> DATE_1 � � -1�-L"- <br /> FIXED <br /> �" W.O. <br /> .-� � DEP051T f > Q -� No. , <br /> 9ERVIGE ��v eooen�l �-?�/'� � ��f�� �✓`rE" BLK.. LOT C� AD �-��L-�"r"�O�"'"� <br /> OWNER.LLu—�' � � ��� � CONTRAC70R <br /> `. �LAT `� / <br /> INSTAL 3 �' RED 9ERVICE�- �� -h — <br /> I HENEBY APPLY FOR THE USE OF WATER IN ACCORD�HCE WITH THE /�'/ � / <br /> ORUINANCES AND POLICIES OF THE WATER UEPARTMENT NOW E%ISTING ��,{y�/ �U�_ _ <br /> OR AS SAME MAY BE MEREAFTER CH�NGED. eIGr+Ea: %`._ - --- <br /> M�T[RIAt{ $ IN. 1 M. � 3 IN. I I � PRiCE •MOUNT <br /> , p�pE COPPER--GALV.•• STEEL —I—_�� <br /> CORPORATION _ I _� ._- I <br /> CURB COCK OT � I <br /> SERVICE BOX PLAS7IC -- C � I . <br /> METER VALVE . _ _- -_-- - ---- <br /> METER No. _---_ TYPE: _____I_ti _ __ _____ __ <br /> METER BO% CONCRETE SMALL LARGE ____ _I_ ___ __ _ ' <br /> I —L�.�I — <br /> '--_ '_ —I J-1_ — '. <br /> � � � <br /> __I � �_ II <br /> —_— — I I� I <br /> ON <br /> DATE INSTALLED: G /f �� � OFF SUB TOTAL �., <br /> LOOE � LABOR AND EOUIPMENf RENTAL I HOUNS R/1TE <br /> �� I/., b'�' 0 2 — --I <br /> � � I <br /> � -- -- — i-- -- <br /> ---- — ---- — —I <br /> —j — ---- _ � <br /> TOTAL <br /> REMARKS: � �L`,Q � �` �. 7 / Z� _ <br /> ._—'� <br /> � . , r� .n +� .� +� r+T T �r T T �L• Y1 <br />