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, . �� SERVICE t�� 6 6 A • <br /> ����/y �n APPLICATFON FOR SERVICE oROER <br /> APPL. �� /Q,� <br /> N°• �U 1 CITY OF EVERETT WATER DEPT. pArE��--�-� �= <br /> � FIXED /py� W��'�' ��-�y��-,!- -- <br /> �u DEPOSIT s J�,�l��_ �vl�'/�`" ` " ' <br /> � ,� �,"�/ I�L'LK.-/�LOT ADD.— _ <br /> $ERVICE ( Y ADCRE887 —�� � �,� <br /> . . _CONTRACTOR_----�— <br /> OWNER y <br /> FLAT -___ <br /> INSTAL t'iERVICE � � ���� <br /> I HENEBY �PP Y FOR 7HE USE OF N27ER IN ACCORD�NCE WITH THE SIGFEO: X��t'�-�'��� ,�.�-- <br /> OPDIN�NCES �ND POLICIE� OF TNE WATER DEPARTMENT NOW EXISTING P���E �MUUrvT <br /> OR AS SAME MAY BE HEPEAFTER CHANGED. AIN.I �rv.l s �N. I <br /> MATERIAL9 ,�/_ � ���r�<' <br /> /� � <br /> COPPER-- GALV.-STEEL _,+��- I'I JI/� <br /> PIPE � �j <br /> CORPORATION i — II �/��^ <br /> CURB COCK . OT, � li —,_ __� <br /> � �L' <br /> PLASTIC,- C � I -- —_ � <br /> SERVICE�OX ____.,, - <br /> ME ER VALVE ___— I ;S . <br /> TYPE: _ —�-- -- i <br /> METER No• -- --"-- __ � I <br /> --�— SMALL LAHGE —' <br /> METER 00X CONCRETE - <br /> �� I <br /> .._�—� I __ _� --- <br /> —� --I _ � � <br /> _-- II _�_ - I - <br /> ---�-"I-I� i 1 <br /> I �N SUB TOTAL �J� � <br /> �OFF � �yt , <br /> OATE IP:STALLED: / Houas RATE <br /> I LABOR AND EOUIPMENt RENTAL � . /I /�.:- <br /> CODE ^ <br /> I/ , 1 ----'��__. <br /> � li <br /> -���2.�.�-t�>- _ _�,�-- - ,_�_��'' _, � -- <br /> �---� ---- -- - I I <br /> < < � --- I <br /> ---- -- ---- <br /> � i -- --- � � <br /> --'----- -- ---- ---- 'I , <br /> -'I TOTAL J.�JI� _ <br /> —���� _ <br /> —"__— <br /> .__. __—"__"_-� <br /> REMARKS: -- ---'- <br /> ' _ _ _ _ _ ._ _.__——_-_ <br /> - __ _.-.___.___ --�-_._ -- _ _ <br /> 7_���/�� . . . . . _ ___ ._._._ <br /> � __ _. <br /> __ <br />