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c.. � � iy ^ I <br /> NOP�"/��C`1�1�J ��- ' CITY'OF EVERcTT sERvicE : � <br /> � oROER NO. <br /> APPLICATION FOR WATER SERVICE ,�y.� <br /> DATE��Zcr_ , .__187� <br /> �IXED <br /> � DEPO5IT s ��' � ry�_ _____"_ <br /> � j 2 <br /> SEFVI�:E levwDonEts>�j'�l -�-.�,�JuiGs�- __-BLK... � LOTS�Z�DD��u.,k«�__ <br /> �EA-��� T�N1L-�_. _ _ --CONTRACTOR �,a <br /> OWNE - _ _-___ .-_--_ — <br /> FLAT� <br /> INSTAL � - £fEREG SERVIGE-'_. . . .._--- - - --- <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCOND.\NCE WITM THE /�(i7 '� /� <br /> ORDINANCES AND POLICIES OF THE W�TER OEPARTMCNT NOW E%ISTING � /� / ! <br /> Ofl AS SAM: MAY BE HENEAFTER CHANGED. sionea: X Z!'��e! ._ - --- --- <br /> ---MATER�ALS - - �L IN. 1 IN. 'i 2 IH' I �. I �'� AMOtINT <br /> PIPE COPPE � GALV.•- STEEL ��� �I <br /> CORPORATION _ _ _ _ _ _ ___ _ _I �� � __ <br /> _ RB COCK _OT _I _ _ <br /> SERV�CE BUX PLASTIC__ C I � I I _ _ __. <br /> __ _-_ <br /> —" <br /> METER t'ALVE <br /> __—_-_'_. ._--_-_ ._ ____'-_- __-__i.— -__ _- - <br /> _METER No._.._____ .. TYPE: ... _. . -I- `6-_--_ __ —_�—_ __� <br /> METER BO% CONCRETE SMALL LARGE _ <br /> -- _ _ I <br /> — _ ____ . _ _ _ _� _ i,-- _ <br /> _- —I -- <br /> -_ ___-_. __ —i_ �— _ _ <br /> __ ____.__ � � I— —' _ <br /> ffl( ON <br /> � SUB TOTAL <br /> CATF. INSTALLED:/`._ //- ? 7 � OFF <br /> �.�pE I L�BOP ANO EOUIPMENf RENT�L HOURS RAl'E <br /> _— �,z� I 3 _ <br /> —I�--- - — --- — - �-��a� -I 3 ' -- — <br /> _i �_�-��,�� _�" �3- --- <br /> t�/- -- - <br /> -� - - -- - ��G�_ _ --�I�-- - <br /> �I - -- -- - - ----- - - - <br /> - - <br /> -i - --- <br /> TOTAL <br /> , r � <br /> REMARKS � .. ., ._' ,. ', —�_ ' . . .. ,.� ,� _ "_ .. . <br /> -. .% "':._/_ . . �-- '1 ('� r✓__.i.�.____"""" .. . r - � - � ��/�-�_ _ ' r'- _ _ . '—_-' _—�_ <br />