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, <br /> No?� • ' 9 S•/ � ' APFLICATION F��R SERVICE SERVIC � 216 <br /> CITY OF EVERETT WATER DEPT. oRoe <br /> / 9�/� �n( /�/'� <br /> � FIXED DA7 ����"-L_79-=� <br /> �{7 DEPOSIT S� _�� W.O. <br /> .�v No.-- � <br /> �� _ 7��t�' �eJ /_ �-�-�- <br /> SERVICE (BYADDRE85�_.__ ��� r B Y.. �j/'AUO. -3 � <br /> OWNER—_ �_ _CONTRACT ��'4y7y�E���_���'�-yr�:/ <br /> �.. �-_FlefTf"_.._— '--___ 3/ c c _ _ <br /> fN;iTALL/f:__ME7'ERED SERVICE_ ____ __�,�,��{�n���,_�/� ` <br /> I HENE9Y APPLY FOR THE I15E OF 1'/ATER IN ACCORDANCE WITH THE � J D ' <br /> ORDINANCES AND POLICIES OF THE WATER OEPARTMEN7 NOW EXISTING ���/n �.���„/ .o /I i <br /> CR AS SAME MAY BE HENEAPTER CHANGED. stcn:�: X���_T,_. � �1�G��r.1G�'=�:�/ <br /> ��� MAiHRI4Lu I ��� IN. 1 IN. 2 IN. I PRIG[ I AMOUNT � <br /> PIPE ___ COPPER - GALV.--STEEL �I I� I� II ���5 <br /> CCRPORATION � I � <br /> � I �'i��`'1_ <br /> CURB COCX OT I �I� <br /> SERVICE BOX PLASTIC -- C � -�j I <br /> _. —_ I I i �ij I <br /> METER VALVE � <br /> - -- ----- - - --- --�-- - - 9/_ <br /> METER No• ..� `f-�_��L�JYSAYPE:�� ___I��_ — _ —�__���� .. <br /> — _ � —__._.I.__-_ -__ _- � _ <br /> METER AOX ONCRF.� MAL ' LARGE ��� <br /> t __�_—__ 1� � i <br /> �" L �- � �� I� v���� <br /> � — �.�w�—�— I — I! / �3� <br /> -- ` 1 � I� <br /> --. �—� � <br /> —_ i ._ -- �I— <br /> I I I I I - <br /> � UN <br /> DATEINSTALLED: FF i SUB TOTAL 75 '/ <br /> �-/0 -C.7 L�``' iJf� <br /> CODE � LABOR AND EqU1PMENT RENTAL I HOURS FATE <br /> —���� --- � —L 3.."3G I � 17� <br /> � i � <br /> ---r�' 'r.,_.1c/ --- — ---- I l� '�. ln!`_����— <br /> • --�— — - <br /> — ------- ---- ---- � -- ii <br /> _— ���-- ��--- — _ -- I--�__ -,-��I' /° �5~b <br /> -� /-- >> �:� � �I I <br /> — i . . —I— — ---��-�r-- <br /> , � TOTAL �I ��� �(JD <br /> RF_:dARIS>� .- � <br /> ---,��._� -'�. n a..i C...a_� .Ai._.��. Cn�� !'f�;—.__— —_'_"_._—_�'�.' <br /> ./ <br /> _� <br />