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I <br />NOP � �(o J�� CIiY OF'EVERETT SERVICE -� � � <br />APPLICATION FOR YJATER SC-RVICE oR�eR NO. � � <br />� FIXED DAT�f� ._��.__19�� <br />� DEPOSIT �J/� ��/ -- <br />SERVICE (BrAODREes�_SJ.S �J�� _�G fJ �j�jl�y-L3�LOT_/ ___ADD. /P?t?�-_��,8�' <br />OWNER�_��+ T _. __'__'_GONTRACTOR __ _ __ '________ <br />// <br />INSTAI� ETERED SERVICE __ _ ___ __ <br />I HERE9Y APPLY FOR THE USE O� WRTER IN ACCOROANCE WITN THE � <br />OR�INANCES AND POLICIES OF THE WFTER �Et'ARTMENT NOW EXISTING / <br />ON AS SAME M�Y BE HEREAFT�R CHANGED. slcHEo:X��G�!"�� ___ ___ <br />MATERIALS I}ilN.l IIN.�,21N.� � I pqICE �� AMOUNT <br />PIPE <br />CORPORATION <br />COPPER--GALV.--STEEL <br />A fl.�, ..y?...r�m_7 <br />CURB COCK OT <br />SERVICE BOX PLASTIC •- C 1 <br />METER VALVE (u�/�f N LS_Y�G-C'�CR—C� (C�__ _ <br />METER NO. C^ � 1� fI� JiS�2 TVPE:.t} �s� I_� <br />METER BOX CONCRETE _ Q��_ SMALL LARGE <br />�� 3 — - - — -- <br />DATE INSTALLED: C�- .�.-�., � - <br />REMAHKS: <br />% <br />i <br />,� , I � ON <br />� OFF SUB TOTAL <br />LAOOR AND EOUIPMENfRCNTAL NOUqS � RATE <br />_ – �(y_F��'1'Pr_--�— 2 - <br />� � � <br />.�/_ h �� f1�1��'�_ ' _ <br />_ �.� %/ D�j`' �r�c��-,�- � <br />L�.�(�f�.vse,�-� � , <br />-�2� <br />. . <br />- - -- -- - <br />— -- _ _ - - —�-� � -- ? <br />� <br />i 7 2 ,s <br />TOTAL <br />