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APPL. ~ <br /> No. �,,9 �� �j APPLICA'�ION FOR SERVICE SERV N� 5 4 7 <br /> ❑/���� CITY OIF EVFiRETT WATER DEPT. ORD R <br /> �r onr � c.� / <br /> � DEPOSIT sI/v, CC i `l�� <br /> — W:O. <br /> �J f� No.__�'�j------- <br />, SERVICE fHYADDREBB) — x �` (�� �—�t��y� <br />, _ �z�—_ _BLK. ".i <br /> LOT ADD._ <br />' OWNER �T — ---�--__. <br /> �,L � --_CONTRACTOR�� �4,p� <br />` iNSTAL ^ METERED gERVIC� o'10n ,���,p���-- <br /> I HEREBY APPLY FOR THE USE OF WATER I'i ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER �EPAflTMENT NOW E%ISTING /�/� <br /> OR AS SAME MAY BE NEREAFTER CHANGED //// ' <br /> — 81 aNED:X�/Y/i-y� � �,! <br /> .���� MATEq�qLB -T_�-`---� <br /> �i�i IN. f IN. I 2 IN. � PRICE AMOUNT <br /> P�PE ____ COPPE GALV.--STEEt ' �� _ ' p �J <br /> CtlRPORATION • �/ �o{I�� <br /> I � � – <br /> CURB COCK � —� <br /> SERVICE BOX PLASTIC�- C I _ � � <br /> METER VALVf — i <br /> '�:AETER No.,7 3 ?� -��St '�2Js9TYPEy�. I ,6 3 I� <br /> METER BOX CONCRETE ��� LARGE � �' �� t� <br /> - �� , ---� -_ /. G 5� <br /> � � � -� ��5� <br /> - _ _ _� I <br /> _ � - <br /> DATEINSTALLED: _ I � ON I <br /> QLOFF SUB TOTNL (� ��7 <br /> CODE I LABOP A�Ip EQUIPMENT RENTAL � � <br /> I—�`—,k ���_ LHOURB RATE <br /> � a)�, ------'—:�_ .� s`�� / �O <br /> �I r ^ � __ ___—___—�__� , � <br /> --- ��- �%�'_i��'�I�-L. <br /> � -- ---- ------J il I_ <br /> _ ��, �� ---- I �; i <br /> i ----- ---__ i � ;. 5'u i i I�c o <br /> � I <br /> REMARKS: —_ TOTAL �� <br /> ��LJP --- <br /> i <br />