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y".' <br />�.y <br /> C" <br />�,f' ` <br /> �!:i <br />� I <br />�� ����� <br /> NOPL ' / ��� CITY CF EVERETT CRDHRE � <br /> APPUCATION FOR WATER SERVICE c QR� �� <br /> fJ� FIXED �\ OATE___�l��18r�r� I <br /> )`_i <br /> (N <br /> � DEPOSIT s W, O, I <br /> No._ --- __'_ I <br /> SERVICE (DYADORE881—J-1r=��U� /D�7 �BLK._ LOT—!ADD�/� /_ � i <br /> i �� /y��// //�-- II <br /> OWNER � � • CONTRAC70R--J4�GL11IJ-ECG—_—___.LU .� <br /> � �� `FLAT <br /> INSTAL �ET_RED SERVIGE_-- _ ___ _.____,_ <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDAHCE WITH THE <br /> ORUINANCES AND POLICIES OF 7HE WATER DEPARTMEN7 40W EXIS7ING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. sicH• <br /> / - - -- -- - - __ _ I <br /> MATERIALS w IN . {N. �; I I PRICE � AMOUNT <br /> PIPE COPPER �- GALV._STEEL I I � I �, <br /> _--.. - ..____ _— I <br /> CORPORATION _ ___.________I______ <br /> __ � , <br /> - __' _' - __ . ..___ -_ <br /> CURB COCK OT I I I I <br /> SERVICE BOX PLASTIC -- C I __ I I _ _I _ I, <br /> METER VALVE �, <br /> METER NO. __.-____-_ . _. TYPE: .___--__I__�"._-- _ —�_—I ___ _ _-- _-—_-_- I <br /> METER BOX CONCRETE __ _ SMALL _LARGE _I_, _ ., <br /> --- --- ---- <br /> � � � �I <br /> --� �-� -- - _ ,� <br /> -- - ----- -- � �- <br /> --- - --------- -�- - --�-- - -- <br /> I I i ' <br /> � � - ON <br /> DATE INSTALLED: t � <br /> ;��t, � .� (J ����; OFF SUB TOTAL <br /> COOE I LABOR PND EOUIPMENfRENTAL HOfJRS RATE <br /> _� r � _ <br /> ���-_S� ��.__--_ _._-__. ��.�. !C/1 I <br /> I � � _ - ` �� ���� _.__�_._- . —__I_--_ ___ .___ <br /> i i __- — <br /> — --__- _ __ __ ._ ___ -___. <br /> - -� — _--__ -_ I_. ___ . .______ ._- -_ <br /> I --__—_._- II_ . . ..-__ — __. <br /> —__—_—___- .___. .---_-__._-__._.-__ -_____. _ _. -. ._-.- _ —__ <br /> � i <br /> __..__.____ .. ._- _ _ ._._ __ -_ .- ___-.-__.____.—__-__- ___ .. —__ _-_ _.. --- <br /> I � <br /> TOTAL <br /> REMARKS: <br />