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E[RVICE <br /> ArPL. /���� CITY OF EVER[TT Or�DtR NO. <br /> No. �7 APPUCATION FOR \VAIER SGNVICE <br /> OATE�--1 B_� <br /> FIXED " <br /> U '' '/)��� w.o. <br /> � DEPO5IT f 4 / No.----- <br /> ' BERVIGE 1 ADDneeel_1-f �� 7 Yr �n�l.7 {J(Y-�C_.Lp�-K._---LOT_.--AOD. - <br /> OWNER...�-.�'�/���fv� —'__CONTRACTOR_ __'-___—______' <br /> 7 // FLA7 ICE �%�� ..__'-_ _'—_' _.__-- <br /> INSTAL� - MF RED S <br /> I HENEBY APPLY FOR HT E ❑SE OF WATER IN ACCOPDANCE WITH THE � <br /> OHDINANCES AND POLICIES OF THE WATER OEPARTMENT NOW EXISTING ewNco: X ��y/��� ����- --��- --- <br /> OR AS SAME MAY BE HtNEAF7ER CHANGEU. rp�cE AMOUNT <br /> MATERIAI.S �4 IN. 1 IN. � 2 IN. I I <br /> y� Z� � <br /> �PIP� E �/�aS �'IC ___.COPPER--GALV.-STEEL ' - ---- - '--� - -- -' <br /> � I _- � � - -- <br /> GORPURATION �� SO� -- I <br /> � __ _ _ - - <br /> CURB COCK _ �T __ --.-- I -- <br /> SERVICE BOX PLASTIC •• C I _ _ _ _ <br /> METER VALVE �U'� . . .--- - - I-�-- -- � - �- -_... . '. <br /> Jpq /� ;u Jqz v' I ' , <br /> METER No. l�(JL�_ __ . U��E � - J � D �� . <br /> _--. <br /> _ .. . . <br /> METER BOX CONCRET (aSr'� �MALL LARGE _ . _ _I . � -� - � ---- <br /> �f"Sa�-�;c¢ Su�wfi"_T�_3_.7�/-y5�- -_'---;�— — -- <br /> B.ttss N� te 3�'/� -- -- -- ? — - — — <br /> —/'�'- F--- <br /> _ (�,�s ss 5� F L —-- --- —=� — — <br /> G r y-7 �_-—--— - ----- --- ——�� — '-- --- <br /> - � � z� _i__ -_ <br /> y"'w't 5 5� — -- --�--,---1 <br /> ��� � Rct {� 3 " ow�, aN � I <br /> o I � SUB TOTAL <br /> �ATE INSTALLED: �j -� � � �J �/ � OFF <br /> HOUNS RATE � <br /> COOC '� LABOR A�'O EOUIPMENT RENTGL <br /> � --_���x'_7- /�K _ — <br /> -- -- - -- <br /> _' --- — ---------- G. H_►1�,� 7� � ;r -- ; <br /> - ��r1 7 - - <br /> ---- - - - , ����� .�35�� �1 '� -- — <br /> . , „� <br /> _ �sl„��e.� k�ll�w� / ' txrSfi� —--- ' -i-, - ,_ --- <br /> 5�-r��`c�_ - - _ _ - '--- -'-- -- — =. <br /> ______ � TOTAL �-- <br /> _—"' // �: ii +/ 7 �� � � __.— __ ' <br /> rcMARKS:/Y`� C.G . v.'� • �. �'r � n;. ' <br /> ,�{�� c -.(l �Lc-r{,"/i. ,-. _ --- � ---- <br /> _ .y- - -- . , v <br /> - 4� ' . --- --. . <br />