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APPL. '1 �V 7 APPLICATION FOR SERVICE SERVICE{1�0 � H 7 <br /> oR <br /> N�q. ,/ CITY OF EVERETT WATER DEPT. �� � <br /> �/ 7`E� �e OA k.�� ._19 <br /> DEPO5IT S n \ �Wp � <br /> ❑ _��-- 2 <br /> ��, ��� Y2�-/' ���t� <br /> SERVICE (eY�ooe 661_`J�"'^'D -----GLK._ _L T ADD.--_��s?_ <br /> n/�J � �-� � � <br /> OWNER�"'�^�=`-�'�---�—� � ---CONTRACTOR - »'r� <br /> r FLAT <br /> INSTAL�IA6�CRED SERVICE—_ - - -� --�� <br /> 1 HERERY APPLY FOfl THE USE OF WATER IN ACCORDANCE WITH THE / �� <br /> ORDINANCES ANU POLICIES OF THE WATER U!:PARTMENT NOW EXISTING _l�_�1� <br /> OR '.5 SAME MAY BE HEPEAFTER CHANGE�. sicNEo: X_ <br /> MtSERV.Lb �i IN.I 1 IN. �t IN. � � PRIC[ AMOUNT <br /> p�pE COPPER••GALV.�--STEEL __I_ __� , I <br /> CORPORATION II II I _ <br /> CURB CCCK OT _ � I����- <br /> SERVICE BOX PL STIC � C 1 �_� I I�I'��/�.1_ <br /> _ �—_ - <br /> METER VALVE I _ _.�—_— �-��---- <br /> METER No. TYPE: I `� _ __ __ ___ � <br /> METER BO% CONCRETE _ SMALL LAFGE _ _� __ —�I I__ <br /> I I <br /> . �I -- I <br /> - � �I <br /> I I __ <br /> _ —I -- — <br /> --- �� I � <br /> GN � <br /> DATE INSTALLED: � /� i ;� I � OFF SU6 1"�7TAL (� J <br /> COCE I LABOR AND EUUIPMENT RENTAL HOURS R�TE <br /> I l� L��i� __ _ __I�—/— � (! I ����_'1 <br /> —I �_Ty��� IJ�. �i_��,li--_�.__ <br /> � I. <br /> � _ _ _ __ <br /> � I <br /> I <br /> i �' <br /> I I I <br /> __. .__ _ _______ _.._ <br /> _ _ ___ ___ __ _. _ _ <br /> __�____. __- - TOTAL �� lJ�.. <br /> RLMARI(5: <br /> .__--"___. ._..__—____ '___1�.J_ <br /> __._—'_ _-_—'_'_ -__'.__-'_-_'__'_-__- _'__" � � <br /> i <br />