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rypPL �-^���� CI1'Y UF EVERETT <br />APP�ICATIG� FOR'J��PTER SERVICF. <br />�/ FIXED <br />C� <br />� DEPOSIT S �OO _ �� <br />i <br />SERVICE �eY oResn)_-. �II_o�����.z.�f LK._. <br />�"'� �� � �� <br />OWNER ��-�1�`� . � ' �� _ ._ _ _ __CONTRACTOR_ <br />// <br />INSTALI�_�f� _METERED SERVICE__ _.__—.._ _ _ <br />I HEREBY APPLY FO�� TFE USE OF YIATER IN ACCOPUANLE WITH THE <br />OROINANCES AND PO.ICII:S OF THE WRTEH DFpppTMENT NOW EJ(ISTING - <br />OR AS SAME MAY EF HEFEAFTER CHANGED. sicr�eo: X I <br />MAT�,g.�ly.G�, I�F IN. I 1 IN. I 2 IN. <br />PIPE _ <br />CORPORAT-0N <br />CURB COCK <br />SEftVICE BO% <br />METER VALVE <br />METER No. <br />METER kIOX <br />- 1 <br />COPPE GALV.--S7EEL <br />OT <br />' — __ _ �.'—.— <br />LASTIC -- C I <br />�'—'— _ _ _ <br />TYPE: I •� <br />CONCRETE __SMALL LARGE <br />_ __ �.(_� - _ _ <br />SERVICE <br />ORDER NO. <br />DATF__ ��3---I�Z <br />W. O. <br />No._ _ --__-- _ —'__ <br />_LOT_� _ App/�G.yyy�7�li[.j_ <br />.t� ---_ ___—��'�� <br />PRICE <br />� ON <br />DATE INSTALLED: G]� ��__ �-7 n OFF SU6 TOTAL <br />/ / <br />COOE I LABOH ANO EOUIPM[VfRENTAL HOURS RRTE <br />_- -___ --���/,�-rtl___I Lt <br />--- -- -_ _ Lt°/'G/tiL_--�-�----- <br />�' / 7 / � /3 j- �----- <br />- <br />• ---- - - . <br />'- - �% t �/ � - �7-�= -� . <br />� ---/ . - - �-- <br />� - -- --- - - � <br />TOTAL <br />REMARKS: <br />