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qppL., �i�G%� 7 APPLICATION FOR SERVICE <br />No. �, • � <br />���,, CI��T�1�bF EVERETT WATER DEPT. <br />ix� , /�--�� �C . . �= " <br />� oerosir s�'( �� --- — <br />SERVICE(DYADDRE661—��/� �����----ULK._—_LOT <br />�/WNER—.-------- --CONTRACTOR__-- <br />1(!(C� u� FLAT �� <br />IN9'�T � ����'SERVICE_—___ '-- ; �<---. <br />I HEREBY APPLY FOfl THE ❑SF. OF WATER IN {��OflDANCE WITH THE i; � <br />ORDINANCES AND POUCIES OF THE WATER DEPpkTMENT NOW E%ISTING G� �w^.,� <br />OR AS SAME KAY �E HEREAFTEP CHANGED. slGr+[o:,7C-�, <br />IAATERIALS I?: ���.I ���. I z�K% I <br />PIPE . COPFER=-GALV.--GTEEL I-!% � <br />� —_ — i—I_ —�— <br />CORPORATION <br />.�CURB COCK1 OT�� <br />SERVICE BOX (PLASTIC%- C 1 <br />c�— <br />METER VALVE _ _ __ <br />METER No. TYPE� I ��� <br />METER BOX CONCRETE SMALL LARGE <br />— ��r� / !. <br />!1 <br />�.ON <br />DATE INSTALLED: r' �/' ^ ,� � . � OFF <br />CODE I LABOR AN� EQUI. MGN i RENTpL <br />t <br />SERVICE �� 2 H 5 <br />OH�ER � / <br />DAI' /i.xl/' ��f��19'� <br />� <br />�^,. o. <br />Nc._ <br />:.!=`, � <br />�^I PRICE nF10UNT <br />�� :� / � �'% <br />SUB TOTAL <br />HOURL RqTE <br />� )'IISj <br />� � <br />TOTAL <br />REMARKS: '� <br />_ . . . __ . __.__._ __ '_ — -__—'Y._____.. <br />-- _- —_ ___. __-__...__._ . <br />l <br />� . _. . _ .. .. .____ _. .. _ _. .__ . ___ .___ '—.. <br />