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APPL. � L��/ � APPLICATION FOR SERVICE <br />No. J <br />��,�� �� CITY OF EV�ERETT Wk.TER DEPT. <br />�' FIXED <br />G e"' <br />� DEPOSIT S �C� '� . <br />� <br />� ✓ .�L� �:// � �L'.: r ) 1_.C'1.�.� <br />SERVICE(eYADDttEe6) --BIK. / <br />OWNER . —�'ONTf:ACTOR '�� <br />� ° FLAT <br />INSTAL� � MiflRL�? SERVIC�-- ----. — .—�_ <br />I HEREBY APPLY FOR THE USE OF WATER IN ALCORUANCE WITH 7HE ��,'. <br />ORDINANCES AND POLIQES OF THE WATER DEPAPTMF.YT NOW EXIS7ING �� <br />OR AS S�ME MAY BE HEREAFTER CHANGED. SIGI+Eo:X,_,'�'�-� <br />ii <br />lAATERIAL6 I� IN.I 1 IN. I 2 IN. � <br />PIPE COPPER -- GALV. -- STEEL <br />CORPORATION <br />CURB COCK OT <br />5ERVICE BOX PLASTSC •- C I <br />METER VALVE <br />MtTER No. TYPE: I `5 <br />METER BOX CONCRETE SMALL LARGE <br />DATE INSTALLED: <br />COOE � <br />I � ON <br />� oFF <br />LABOR ANO EOUIPMENT RENTAL <br />REMAR:CB: (� i�� �i � (� ��-�'_S'_.1 �_-- ., <br />. 2LI.L � C_� _ �.-LJL'.-:�'�''i— <br />� <br />/ - <br />�,/` . . . •_� 1L't i .._ !; I"� .:.'.�'L'' . __ <br />SERVICE'v� V � � <br />ORDER <br />DAT /.. .i/ •r � / _�f <br />.yiD. <br />No.— � J _ <br />/\� i�A�l-��f - - <br />7 ADD. �''�-�-C _ <br />�/�!-LJ. i�tC r/ CL7 c..x�. <br />��r P��d�rlL}__v�.r. E/ -{. <br />� �� <br />� r.�! C!<_/�'.._� . <br />�— _ __ <br />�� � � PRIC� p nn�our+r <br />SUB TOTAL <br />HOlIRS I RATE <br />