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APP �� G APPLiCAT10N FOR SERVICE SERVICE N� Z � 60 <br />N�� G���� CITY OF EVERETT WATER DEP7. oRoeR <br />�FIXED DATE� � —.—_19� � <br />� � DEPQSIT 3 � ,CC-r �) NoO— — <br />SERVICE (BV ADDPE9S) C(%I J ���!'_: i J �7 J� L�� BLK. LOT_�—_ADD.'L'������'T <br />,(�� /� ��£-L�F 1�/ �-� CONTRACTOR N>��, �/ <br />i OWNER �.�� — <br />h LA > <br />I INSTAL `J M ERED SERVICE—_ _— � <br />I I NEREBY AP L4 FOR 7NE USE OF WA7ER IN ACCORDANCE WITH THE ��J'�� � � <br />I ORDINANCES AND POLICIES OF THE WRTER DEPARTMENT NOW EY.ISTING //� ',�i � ..(�v--�-� <br />� OR AS SAME MAY PE HEREAFTER CHANGED. stcNeo: X -/�� _(_ _. __ _ <br />� MATERIALS �i'� IN.I I IN. � 2_N. <br />� PIPE COPPER�GALV. •• STEEL �/� __ <br />I CORPORATION __ � �� <br />� CURB COCK 'brn � <br />1 — <br />i I <br />I SERVICE BOX� PLASTIC_-�C I�> � <br />� METER VALVE <br />� METER No. __� _ _TYPE: . _. _I_�6 _ _ <br />� METER BOX CONCRETE SMALL LARGE <br />� � n n . . _ C�.. _/ %/� _ ��. ., / � <br />I � oN <br />I DAT� E INS—i 4LLED: �� � ... ��/_ �� � OFF <br />CO'JE I , LhBOR AND EOUIPMEN'f RENTAL <br />I I <br />�I <br />i--_ ___— —� <br />I I <br />II_-- _— _-- <br />I— I <br />� <br />REMARKS: � - -� - <br />��..�. , f11( _1-'�—�—_--__-__._—._— <br />PRICE �I AMOUNT <br />SUB TOTAL <br />HOURS � flATE <br />TOYA� <br />