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qppL. �D/G � APf�IC 1TION FOR SERVICE SLFVICE j1!° a b `: <br /> Nb. � ORDE <br /> .�ciL•"' i�y�, �n CITY OF EVERETT WATER !JF.�T. ��� " ��« f i �_,�� <br /> p FIXED "��% �, <br /> �❑ W.O. _ _._ <br /> DEPOSIT s " . - � No. <br /> J F �{) ; � r An <br /> SERVICE (BY�REss)T�.���-'i17.��'•`"���,(,/ � ` CI.aLK. LO'� �-�" ADD..— <br /> /,� � <br /> / <br /> �/^ <br /> OWNER�C�-` ��- }=�"��� ` -- - CONTRACTOR — � <br /> '� -i'G'1:F <br /> INSTAL� �� __METEREO SERVICF — � �///�/ <br /> I HEPEBY APPLY FOfl THE USE OF WATER IN ALCORDANLE WITH THE � // r ��� <br /> ORDINANCES AND POLICIES OF THE WATEF DEPARTMEN7' NOW E%ISTING ���� _� /, �� <br /> OR AS SAME MAY BE HEREAFTEfl CHANGEU. slcrvE�: X_ -- <br /> VNTERIALS � '41N. 1 IN. I � ���• I PPICE AMOl1NT <br /> b ��_- 1 <br /> PIPE COPPER-- GALV.--ST[EL .i�� II ..%��J7 <br /> CORPORATION '�n �� I " /���I ��I /� • <br /> CURB COCK OT I II ` I <br /> SERVICE BCX PLP.STIC •• C 1 I _�� I , <br /> METER VALVE _—_ _ I—�- <br /> I �i - <br /> METER No. �'�-�3�/J>7 YPE - � ib _ �/ti/_ C�� <br /> METER DOX �CONCRETE/ SNIALL RG6� _ /F'� ��,G__ <br /> �.��.t L 3 � � ��� <br /> ,_� •� _�J _ �I_9,� <br /> � '``` ` i I-11�� <br /> - _ - , � -� -�- _ ��8'L <br /> - i � <br /> I I � <br /> � ON <br /> UATE INSTALLED: OFF � SUB TOTAL ��� ��1�� <br /> 3 _ y�( v Cf' � �„��._ _ <br /> COOE I LADOR AN�EQUIFMENT pENTAL I HOURS RATE <br /> �L�Z�- --- - ---- <br /> I�- �• '� ,. ; i _ <br /> l�i,.� __/�:� — � �-- —�'—'�- � ° i,� -- <br /> ;.� I I. <br /> �— <br /> � -- -- —�_ .��I � -- <br /> -= -- --- � I� <br /> I I TOTAL II I <br /> ______ '_-'.._'_----_I '—_ <br /> _._______—_"__—_-_ _.__-' I <br /> I �+ <br /> %��ll�� <br /> ��� <br /> REMARKS: -- - <br /> / . .-__-_ " _ _ ._ _____ _ .__ ._ . <br /> _. . _'__ . __- <br /> �i �(- � . . . . _ . _ _ _ ._ __—'- _ <br /> � _. .__._ _ __ _ . _- - . .._ _. _ _ _. _ -._ <br /> I ' _ - <br />