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--�. <br /> �r� <br /> ay <br /> C�H � .. <br /> <� . r �- �,', : <br /> 'Y H VJ � /- !i � SERVICE <br /> H �� � -�rr�. CITY OF EVERETT ' orcnEk <br /> y hi NO' � APPLICATION FOR 17ATER SERVICE �I° 5 i 9� 'i <br /> K � a7oa� oA,E—v�.��,sa�_ <br /> o x o � F�xeo I <br /> ❑ s S.l�LQ— w.o. <br /> au <br /> � wH oerosir No.--------- <br /> y � �_a.� ((��4 � <br /> O F�� $ERVICE (sYAODl1utl� ���`�"�—`�+� BLK.-_--LOT--ADD—� <br /> ��pyy OWNE� �� .,•`�� —CONTRACTOR <br /> ��(7 -�i,�� FLAT J /^,,,�k�.9v,�-_G?"��P'"_"__-'/ -_ <br /> x H C� INSTALL�-- RED SERVICE_-- 1.-V <br /> y y� 1 NEREBY APPLY FOR THE IlSE OF WATER IH ACCOPDANCE wITH THE — — — - — — <br /> tH x OPOINANCES AND POLICIES OF THE WATEN DEP11flTNENT NOW E%ISTING .ICNEo:% _ <br /> �..�y OR AS S�ME HAY BE MEREAFTEN CHIINGED. <br /> ��.y y M�TERI�L6 141N. 1 IN. j 3 IN. � PRIC[ � PMOUNT <br /> �N � I � . �_ — I �_ <br /> P�pE COPPER}GAW.•-STEEL �_I � � <br /> � �� CORPORATION For d �' � _ � _- —I,—I -�-___ — <br /> y �� CURB COCK OT _ —I- I— - <br /> SERVICE 80% �PlASTI - C I J- I I__ <br /> METER VALVE rO,�A v_�3_- �3I.3zk! �__I ---'- ', - --�- - <br /> /LTVPE: Ba�/1 I' I �__L -�_-_ <br /> �r METER No. � QO 2�(d _�-. . � - - -- <br /> �{ CONCRETE ��/'���R�-� /�,SMALL LARGE _/_� __I�__- -__- - — <br /> 1 METER BOX _�—� <br /> �3/- z 3 ---- �—�--�— -- — ' <br /> � <br /> � _ _ y , i _�_ � <br /> 1 1 3 � k� Z�� x �n,, — � --� — '-- - - — �, <br /> ius5 l3aS�� ���'�=--- � � <br /> iu —� --�— — — , <br /> � .'I — --- -- -- <br /> — -- I I I � ' � <br /> � ON I <br /> i q SUB TOTAL <br /> I DATE INSTALLED: S-s '��' � OFF <br /> ✓ � <br /> LABOR AND E0111PMEN!PENTAL I HOUR9 RATE <br /> COOE � � <br /> , �- -� �.� -- �-,,���i y-" -- ' <br /> ; -� _ � <br /> _'_L'��_6J�/� —_—A. _ S�t� n_`� — --- <br /> I :.�i —'� - ---- -- __3�o I �5�-- — <br /> � -- -- ----?�3�_i�_ <br /> —I --— —---- - D£l.i t�=T il �- — <br /> I �"i _ _ — <br /> _. � <br /> � TOTAL <br /> REMARKS: .t/,S� _TL1A1 _ F�� C_1�P�S�U��--�_ <br /> .���_ �B�- !�---� -- <br /> ��c9Nr oor ? --� <br />