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, <br /> /� � <br /> APPLLi/ ��C.//1 O SERVICE . . . <br /> No. a{ /�/'� � CITY•OF EVERETT OFOER NO. <br /> APPUCATION FOR WATER SERVICE �(/��(�� �d _ �, <br /> DATG-�'-`�'--'.- 18-_ <br /> G FIXED � <br /> ❑ _��� ��- ---- <br /> DEPOSIT s <br /> � <br /> � JS ��_��- <br /> �j D � / '� �BLK.__--LOT A �7 <br /> SERV�CE � ooy )---4-�� � - IL� y��i.f � � <br /> / �' __��v�- '�_ _ f.ONTRACTOR_-._._.._.._-------- <br /> OWNiR6%'�-_� .-- <br /> 3 ' <br /> � METERED SERVIC � �` �'' <br /> INSTAL ---- -- jj' � / <br /> 1 HEREBY APPLY Ft)R WATER IN ACCONDANLE WITN THE ������� <br /> ONDINANCES AND POLICIES OF THE WATER DEPAHTMENT NOW EXISTING eicr+eo: X �"--'-� '--- <br /> Ofl AS SAME MNY BE HEREAFTER CHANGED. -� <br /> Yi IN. � 1 �N. I 2 �N. I I PRICE AMOCMT <br /> MnTEM1A�5 �_ I <br /> PIPE __ COPPER--GALV.--STEEL ____i_I_�__._j_- — — <br /> CORPORATION __ -- ---� — <br /> CURB COCK OT - -II j <br /> SERVICE BOX PLASTIC -- G 1 _ — � <br /> METER VALVE __ . _._. — ---- I - - --- -�- <br /> -'_ . - TYPE: I �S —I--i— - - <br /> METER No• __--�--- - -- � <br /> tAETER BOX CONCRETE __ SMALL LARGE __ I . <br /> - ____'____'- ' ' __I -�-� '_ <br /> II 1 <br /> - - _—�_ �1_�_— <br /> I __ <br /> —_-_- -_-- - I- 'I — --__ " <br /> I � UN <br /> ^� OFF SUB TO'TP.L <br /> p�TE INSTnLLCD�. � _�3� �� � - -- <br /> -�� � HOURS � AMTv'. _ <br /> COOE � LABOR AND EOUIPMENf AENThI I <br /> � -- - ---��- �— ----�� --- — - <br /> _I _--_. - ---�'��'�fL}/l0 �' --- -- <br /> - 1�.{._ �1 I I -- - - -- <br /> '� ���d�3 = — . _ _1-- -- -- — <br /> =i_ ' - - ------ �-- -- -.- <br /> - -- - <br /> - --- � - - — <br /> _ TOTAL <br /> ^/ �� ,�c- � 3.5. � � -- . �i . ri <br /> REMARKS: �} C ' �i_L.—`L�LiL�-��-J=1�L/t_�_(.p .i'._1_1.11.,_ . _._ ._�_+I-=-. �.' <br /> --� -- --- 'i �c� �l' f j�ri� , __ �,�.�' ,, .: � , — <br /> < r/_�//P°"�,Se'/":�'r '_ S-r• , �. ` --------. .... <br />