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i <br /> APPL. l !_ � //Z CITY OF EVERETT SERVICE <br /> No. �� � qppLICATION FOR WATEF SERV�CE oROER �la 54 � O <br /> iv <br /> �FIXED DATE—�(�.y�I8� <br /> / <br /> _—�_!1�U— W.O. <br /> � DEPOSIT S (,LJ� No.— <br /> SERVICE �eYAUDREBB)�_O��y—��L�Y�S/--.YL.(�BLK./�/�„/LOT`�/� _ADD. <br /> OWNE�+ Cf�'_/,�L.l�(��T�1f}'�__ _ CONTRAC70R_�.L�—J_LR �t � 'P <br /> �-���4� <br /> INSTAL 1ETERED RVICE_ ---- --- <br /> I HEREBY APPLY FOR THE IISE OF WATER IN ACCORDANCE WITN THE <br /> OflDINANCES AND POLICIES OF THE WATER OEPARTMENT NOW ETIST�NG <br /> OR AS SAME MAY BE HEREAFTEfl GHANGEO. elGnco�. % � -----' C��'����___. <br /> MATEHIALS � IN. 1 IN. � 2 IN. � � PRICE AMOUNT <br /> PIPE COPPER -- GALV.-- STEEL ( _ I.—_ —_ _ <br /> CORPORATION f I I <br /> CURB COCK OT � I I <br /> SERVICE BO% PLASTIC -- C 1 I I_ <br /> METER VALVE � <br /> _ __ __ .— . — _— _— _—._ —. __ — ._—__— ____— _— <br /> METER No. gOq� TYPE:pjPfG�31��—�- `A ___I__' <br /> _ ___._ --' . _ —_—_. _ .- '_ '_— — ' <br /> METER BO% CONCRETE SMALL LARGE I <br /> . ___ — __--I _L� __—_ <br /> .___——"' I I <br /> '— _ — i_ �_ -- — <br /> —ON — —_ <br /> DA7E INSTALLED: ��-'(�i0� I �OFF I SUB TOTAL <br /> � <br /> COOE I LABOR ANO EOUIPMENf REVTAL I HOIJRS RATE <br /> �' ----`.C✓l�I�9�--� <br /> I I <br /> ��Z � - - � -- ---- --- <br /> � � - <br /> i -------- � I <br /> -i -- - -------- � -- <br /> � --- � <br /> TOTAL <br /> REMARKS: _ _ _ _ __�_ <br />