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^Pp'•• l ? CITY OF EVERETT seRvice ; , , - . <br /> No. pC�O�OJ uAoert NO. +, �-! i+ 'J <br /> APPUCATIqN FOR WATER SERVICE /� <br /> . DATE�o /� --19� <br /> _�/FIXED � <br /> �DEPOSIT S �Q No�� <br /> � i /) � / I/J <br /> SERVICE ler wo RE881 � �/� _ /" �`�/ �� BLK._ LOI�ADD!' 'T �� � <br /> OWNE — `- (��T��J _CONT4ACTOR�..f�'�� <br /> � �, FL <br /> INSTAL ETERED SERVICE--- - — <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE �/�,, � � � <br /> ORDINANCES AND POLICIES OF THE WATER DEPf.RTMENT NOW EXIS7ING lllEfllllllYl!/ <br /> OR AS SAME MAY BE HEREAF7ER CHANGED. slcr+eo: X �dI1.R.ul`-�" � - --- <br /> MATERIALS % IN. I IN. � 2 IN. i I PHICE AMCUNT <br /> P1PE COPPER -•G.4LV.--STEEt {I� I <br /> CORPORATION I � . <br /> CURB COCK O7 � <br /> SERVICE BOX PLASTIC -- C I I <br /> METER VALVE -- <br /> METER NO. TYPE: I `w _ __ _ _ <br /> METER BOX CONCRETE SMALL LARGE i _I_—__ - <br /> -- _- --�_II —� - — <br /> -- __I - <br /> _—I— — —_ _— <br /> -'—___ I <br /> �I � � � I – <br /> ON <br /> DATE INSTALLE�: I ��1 Il -_a,6 I � OFF SUB TOTAL <br /> / 1 '! �j=_. <br /> CO�E � LABOR AND EOUIPMENf PENTAL I HOURS FATE <br /> ��/�i��/^f� _ I <br /> I –_._ __ ,. ... <br /> II —_.. -I—_ —_ _ <br /> I n � --- � -- -- — <br /> --i� — i– <br /> i ----- ------ - � <br /> TOTAL <br /> REMARKS: <br />