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APPL. ^`O� a� A.Y. CATION FOR SERVICE SLRVICE jv° � � i � <br /> (7RDER <br /> `�'^'�F,. . , CITY OF EVERETT �NAi'ER DEPY. t. ,-, . _' � � <br /> �, <br /> . . DATE--_.—_" ___19_i_ <br /> � FIXED <br /> � . ('(- W. O. <br /> � DEPOSIT § i' _. __ . ) , No.--- -- <br /> �)j� � �..%L. /' �" �' � ��-" _ELK. LOT--�y��-ADD. <br /> SERVICE (DY ADDRE6S)----�-- -- — - —— <br /> p / <br /> . ,� \. %L J_ /) :.7..:� �`7Lr3'1 - <br /> � <br /> OWNER_ T—.-- ------ ' <br /> CONTRAG'[Old �c�C / — — <br /> !'��! � FLAT ___ <br /> INSTALL�___--Nf84E1F�� SERVICE— ---- -- <br /> 1 HEREBY APPLY FOR THE USE OF WATER 'N ACCOROANCE WITH THE "��� � � �� <br /> OPDINANCES AND PJLICIES OF TME WATER DEPARTMENT NOW EXISTING ///C.! /- /I:.; ' � �'� "�'7/ <br /> OR AS SAME MAY aE HEREAFTER CHANGED. SicruenrX—a--;� � -,�,-� <br /> .�.� � , i'�!.--'.- .:7�-_—_-._ <br /> IAATERI�:-a' �i IN. 1 IN. I a IN. I I ��RICE AMOUNT <br /> PIPE OPPE GALV.--STEEL �_� _I__ •�7� <br /> --'��- I I' 3�3J <br /> CORPORATION _ . _ _�_— -- � <br /> CURB COCK _ OT __ I — �II� C <br /> SERVICE EO% _ LASTIG_ C I _ l _I �I__ '� _ <br /> _ -T I <br /> METER VALVE _- -- —I--- -- --� ---- <br /> METER No. _._ ' --__. -TYPE: . ____I �� _'�—_ I � <br /> I -- --I I <br /> METER BOX CONCRET� SMALL LARGE ___ <br /> - ---_� .:�:%- � --`-��� <br /> - i � <br /> - -, - �- <br /> -i � - i-- <br /> ----- __�---� -�� _ <br /> I � ON <br /> DATE INSTALLEO: . , <br /> �.�OFF '�; SUB TOTAL / / <br /> �`7 an .(, y, <br /> CODE I LABOR ANV EOGII�1EN�RENTAL � HOL1R5 RATE L�_�� <br /> _����----- -------- --- _ _ _ !�- ---',�--!� <br /> �`�Zu .�.r.� _ --�-�- -- - -�.;-- <br /> - �� � -- <br /> � - -- <br /> � -- - --' -- - I�' � <br /> - ---- j i � <br /> I --"----_'.-_____ _'--'----_—__-- TOTAL � , <br /> I I ��,/ <br /> C_i/ 7� V <br /> REMARKS: � „ -----' ' <br /> ..2�� _—__-- — �� <br /> ._' _-._'.__'_-_ <br /> _ ._'-_' �� � <br /> —. , <br /> -�' ,, �_ t,, :. .. _ . ___-_- _'.__ <br />