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i . <br /> SERVICE ,, '� �_.; � <br /> . NOPL• '� ��� � CITY OF EVE9ETT UROE��jJJ NO. - <br /> APPLICATION FOR WATER SERVICE �����(j _ta'�� <br /> i <br /> � FIXEb Qp W.O. <br /> � DEPOSIT �G/ _ No. � <br /> / //JJ� �/�/' /��J� �� � <br /> c- �,hGy�i(J / /�/ aJ�L7l�0LK._ LOT_=/--AT�- � ll�,���-_ <br /> SERVICE iBvw�D/o}//t/�es1 `-� // <br /> OWNER.hi72%���`�"`CEl�,�''���.--GONTRACTOR _—_—_.------- <br /> � �/ N _ <br /> INSTAL�-T--METERED SERV'CE---- (n� ' <br /> ppDEN�NCES AND PORIC ES OF�THE WATER DEPARTME/T NOWWE%STING �� `� _ _____ <br /> ei�r+ x <br /> OR AS SAME MAY BF HEREAFTER CHANGE�. pRicE AMOUNT <br /> MATE91A1 S Y� IN. 1 IN. � 2 I � <br /> PIPE COPPER--GALV.--STEEL __ _�_ _�I�— <br /> CORPORATION _ II —� -- — <br /> GURB COCK OT _ —I — <br /> SERVICE BOX PLASTIC - C � — <br /> METER VALVE --___.-__._-_'-_- _.__'_�"— -- _ <br /> ME7ER No. 7YPE: . _.._ .__ _��'-I.— -- —____- __ <br /> METER BGX GONCRETE SMALL LARGE_ ' ____ _ I -- - <br /> __ -_ _-.___ 1 — I � — <br /> —�---- � <br /> — I — <br /> -- __-_-.____— I --- <br /> -- -- -- � � i-�i _ <br /> I 1�oN <br /> ' / � /. / OFF SUF7 TOTAL <br /> OATE INSTALLED: `f, y — 9 j � <br /> C'JlE ' LA6DR AND LOUIPMEN�f RENT/.� <br /> I HOURS RME <br /> —� _ S . ��C_�_� � — <br /> ___ _—._ ——_ / ��peN I I L� — <br /> __I __--_ _ �z �� _I / 11 __ _ _ <br /> I - _-__��� 3��f ._ � - -- - <br /> � ----- I _ -- <br /> -�� _ _ � - - -. <br /> I TOTAL <br /> REMARKS: —____ .___.—� ----- -- <br />