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, <br /> APPt r , . <br /> No. � �%�� CI�Y CF EVERETT ORDEIRE NO.. ', <br /> APPLIC/�TION FOR WiiTER SERVICE � � <br /> � FIXEG OATE��"��___19� <br /> I� DEPQ9IT s � k"Q d d W.O. <br /> No.___ --- <br /> p�J� / � / ////'''`7. � ��. n <br /> V�^ <br /> SERVICE � Y-n oRE -Q_L�1. _ �BLK.__--LOT_��A �_ <br /> � /� <br /> OWNE �` sL�,! . _' - -�c�/ � � .�.-J -2 <br /> _(,�GONTRACTOR____ ___ _ <br /> A � <br /> INSTAL � ME7ERED �VI� � <br /> a_-__- _ _ <br /> I HERCBY APPLY FOR THE USE OF W�TER IN A[CORDANCE WITH THE / � <br /> OR�INANCES AND POLICIES OF THE WATEP DEPARiMENT NOW E%ISTING �� <br /> CR AS SAME MAY DE HEREAFTCR CHANGED. sicHeo: X /_✓f'G4_ -� _.______ <br /> FIA'iER1Al6 � IH. 1 IN. � 2 IN. I I PRIO�I AMOUNT <br /> �'�PE __ COPPER--GALV.•- STEEL ��� I <br /> _ � <br /> CORPORATION _ ___ I <br /> CURB COCK oT j <br /> SERVICE BOX PLASTIC •- C 1 � I <br /> METER VAL\'E <br /> METER No. ��-.'_ '___ - TYPE: _ _ i I_; _ - -- _�� ' <br /> METER BO% CONCRETE_ _ SMALL LARGE I <br /> _-. _-—— I- _I�L __ <br /> _ I I II __ <br /> I IJ— __ _ <br /> -- __— - _—I I I <br /> _'- -___I _�f_�— ' ___ _'_ <br /> I <br /> - ' _ I- ___I�._I — <br /> DM'E INSTALLED; � _ 1 3� ��^/ � OF� SUB TOTAL <br /> CODE � �ABOR ANO EOUIPMENf RENTAL MOUqS RA'rE <br /> _-I_--__" -""_-_ _ - ._ ._-___ _ ._ ----_._T-r-�'-._I-� _-__- <br /> — — _- �-�'sv NM.f�.1L'-i-- -- -- <br /> � -��r �t � LL-�i L- --- - <br /> —� - G� �da --���------�- -- — <br /> — — -- - - - --- -- ----- --�-- - <br /> --- - -- - <br /> - _ - - - --- ----- -- <br /> _ � � — - <br /> TOTAL <br /> REMARKS. n n -y- -1- - _.�— �� <br /> -------YG /'�-t"-�---S�s,r /i��-f -i�f_(���il ct- -`-�^i�l'1,sc.er 1i�S /c!/�"�-- - <br /> � �:rdic� � S� /,� l � " _ <br /> rav. �".o✓<^ �c.i �/-'. - �t^Yi ,<i. <br />