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AP;�L: � ���¢ APPLICAT!JN FOR SERVICE SERVIC (1�� 3 9 O <br /> N����.� CITY OP EVERETT WATER DEPT. oRoe � � � <br /> IGYI FIXED DATE 7—�1Q�— <br /> J"t ^ <br /> n DEPOSIT sJ�Ja�.� W. _ <br /> �//// � No._� <br /> SERVICE {B A Reee) ��j� \5���"'��'i._PJ �"�'t% DLK. LOT ADD. <br /> OWNER / � �"�'v —_CONTRACTO���' ��r�� <br /> �� FLAT <br /> INSTAL SERVICE _-- ___ _ - — <br /> 1 HEREBY APPLY FOR THE USE UF WATER IN ACCORDANCE WITH THE � . <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING ] /�� �� <br /> OR AS SAME MAY BE HEREAFTER CHANGED. slcrvEo: X�(.� �.f',�r=b�' ���"C�'�- _ <br /> MATEVIAl3 I u IN. 1 IN. I 2 IN. � PRIC[ ANOUNT <br /> PIPE COPPER --GALV.•-STEEL �� <br /> / I I <br /> CORPORATION -� � �� � .� <br /> i CURB COCK OT i _ I <br /> SERVICE BOX � PLASTI�-- C I � � I I I �. �/ �-..JD <br /> METER VALVE � � <br /> METER NO. —_—_'__—TYPE: __._I__'_ -- —� —_�-' <br /> METER BOX CONCRETE SMALL LARGE �, I <br /> I I I <br /> � �I_ <br /> —I �I_ <br /> I I <br /> � I <br /> --- I <br /> � ON / <br /> DATE INSTALLED:/ ,_ ��� _�. ,� I � OFF � ' , Sl1B TOiAL � �(.J. <br /> / <br /> COOE � LABOR AND EOUIPMENT RENTAL I MOUR9 RATC <br /> � '��� ��_ �� � '�`� <br /> i� — ___ .. <br /> � I -�� <br /> , ;, � � -�, ,, <br /> �; � --i� i <br /> i � <br /> -- -- -- -- ---- -1-- li i <br /> , - -- - -- - - ----I i' -1 <br /> - i ------------- i-- --��- , <br /> TOTAL � ri�- <br /> RLMARKS: . ..� � ;� � � �.. � �� I_�_��' �i : � 1 <br /> __ _ — ' .'�__ —'_ . . _—� '--! — —_ <br /> . � <br /> � _ , � <br /> lC � ._ _ _ . . . . _ . � �. � ' <br /> ����-: <br />