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� <br /> APPL. , zD//Q APPLICAtION FOR SERVICE SERVICE N° $ O 9 <br /> Nb. , V ' � 07DE <br /> ��,� � CITY OF EVERETT WATER DEPT. � � � / � <br /> Q FIX�[� ,���L^�,�,���q��' DAT. �.L ✓� � —�� <br /> �' DEPOSIT y�-�y-�-f='—� W.O. , <br /> J� No. <br /> SERVICE (BYADORE86)�`��/�`� �' �"���"`rf��-�l BLK. _LOT e <br /> y � '� , �} ,j,o. p / <br /> owNEe_ (i.`��crt,�j�`�t-/.�_�:,i�l..r� -(�vit.at7-G�X/�q,� �'-�F-b L.2C%�,c,1.'.c /�'.!c G-V t_ n <br /> t.l)1_, ' �..,y' <br /> _�LCONTRACTOR. � Y <br /> �/ /"/Yl�'LAT . / f_,r-...rl�-<..w-1 <br /> II.'STAL ` METERED SERVIC <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POlIQES OF THE WATER DEPARTMENT NOW EXISTING .� � (1. — <br /> OR AS SAME MAY BE HEREAFTER CHANGED. SIGNSD: �___��l��lLtJ6.��� <br /> M.ITLRIALS �/i IN.� I IN. � 2 IN. !Lf��/Q��f I PpICE AMOUNT <br /> PIPE COPPER•-GALV.--STEEL ,'�� �I / �I,� <br /> -JxsKl ���;'Cit�` •,vl;;' . �., i.. �-:5 ,�.0 9c¢dr - h45 <br /> CORPORATION y _���� .� r S _ CV I'i 3�IQ� � <br /> cu�e cocK oT��1c'.//-.`_�-.S�i�%lE -�y 7�0 � �� J�J"r3 <br /> cv 6u9T <br /> SERVICE BOX PLASTIC -- C I <br /> METER VALVE ,�j(UZGG�(IC(� �LLfI�'LL� I 99__ � /�/ I �' I.��:• <br /> O - -- —1L! <br /> M[TER No.�SI7�����OD�ZTYPE_ �f��Y.L!7�_ �b UI�/ <br /> FA7=� — — — --- <br /> METER BO% CONCRETE oMALL LARGE I � <br /> �,a'_-T. " _�l} �--�Y���r�(!)'.'.1�'i�'.��o�J/y"�71 ---_— -�—� ' L��� <br /> �"t�$ � �Y7 1 f% ' Y --� � '� IG� <br /> � M ,, . , , _-� _��-- � JSI� <br /> . � c- <br /> ` ��/,C`' ' �`� `� '� ---� 3 - 5./S i /5 �! <br /> %' Y�-;� /�r ,�,J�;� �t�CC ,� �I--� � %D'I�- / �,. ,-1.r_),- <br /> .-L_ <br /> DATE INSI'ALLED: � ON /��'��C� <br /> � OFF SUB TOTAL l� " � <br /> CODE � LABOR AN� EOl11PMENT FENTAL HOUR6 RATE � <br /> --�-- -- -- --II---- -- I--I <br /> I � �.� -: � I��,..���..i _. <br /> � _ /_�-"<:"' ; :` ��i / � �� =�?�cc- <br /> i � �I � <br /> I � I � <br /> -- - -- - - -- ---,' - <br /> II .—_' __ -"—'--_-__.—__—_._.___.__—'_ I TO L I <br /> F'�_ ___-_- ___--_ _-/ <br /> REMARKS: / I���JS�x <br /> ' - . --�_—_.__--_ —_ <br /> _ ] <br /> '� � _ � � - . . —_ _— <br /> � , . <br /> I � .._,, ha.i.�.�n� <br /> ��--'="-- — — - - --�`—'-"� <br />