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APPL. •�,9G� � <br />N,o�. !� <br />❑ F�'� /� C'O <br />� DEPOSIT s /GC�, <br />APPLICA710N FOR SERVICE <br />CITY OF EVERETT WATER DEPT. <br />SERVICE N� 3 4 7 <br />oao R <br />on� _ I, �� t� <br />w. o. <br />No. -- <br />�"�i <br />�-J1�J� � �CL�J(:C' ���BLKY��- LOT� �AD�. _-__ <br />SERVICE BY ooREee) /j � �- � <br />{.�t� � �L�CG�Y ,'/L.�'� TRACTOR -- _'_"' <br />OW1JE� ��i�—Z ---- <br />. / � �� P!!��' � — — <br />INSTAL METERED SERVICE -- <br />� <br />I HEPEBY APPLY FOR THE USE OF WATER IN ACCORDlACE WITH THE /� -1/�'�� � <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING 6IGM1EO:X �� � � —�---- <br />OR AS SAME M�Y BE HEREAFTER LHANGED. _ <br />MATEf11AL5 �/ ���� ��N. I= IN. I PRIC[ AMOUNT <br />PIPE GOPPER -- GALV. - STEEL ��I��IJ�_h I� <br />CORPORATION <br />CURB COCK <br />SERVICE BOX <br />METER VALVE <br />METER No.y- <br />METER BOX <br />OT <br />PLASTIC -- C I <br />CONCR <br />DATE II�STALLED:/ � _ <br />cooe I - <br />� +S <br />FGE <br />ii � <br />LABOR AhO EOUIPMENT RF.NTAL <br />i I L� - �i 317�f <br />SUB TOTAL I `�/ �� <br />HOURS RATE ` <br />_� � '�- <br />3 - ',; � - <br />, <br />- --i� i <br />-- --�, � <br />�' _ <br />- �,i I <br />--' TOTAL �II ' /.�) l'.' /�- <br />REMAFKS: __ __._—________ —_.____— _—'___— _-__�'-1L�.' <br />_. _ _—_ _ <br />—__ —_ _— <br />. _ -__ _ . __ - ' <br />— i _—_--_. _`- ____ <br />_ _ <br />_v_lv!.✓ �--_ _ _ _ <br />