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t <br />('';.r <br />{� <br />;d. <br />j <br />i s ' <br />I <br />'!y <br />�;`r <br />� ��`, <br />i <br />'p•. <br />•1� <br />y�PL� ��Q/^�y CITY OF EVERETT RDERE N° 6647 � <br />���� � APPLICATiON FOR WATER SERVICE �y_X(� <br />� FIXED <br />DATE—___V _S1_._-19� <br />� DEPO5IT ��� o�______ <br />` C�f�rtl�')- <br />�t ZVICE �e� �ooncee�—�21-��4/� '"� 9LK._—_LOT_ // ADD..— � � <br />R�a���i`�2��5 ���_---' <br />C� NN E GONTR ACTOR—__.__.___—___. _. <br />INSTAL�MLAT ED SERVICE— ���._���-S / _____ _ . _ � � — I <br />I HEREBY APPLY FOR 7NE USE OF WATER IN ACCORDANCE W�TH THE <br />ORDINANCES AND POLICIES OF THE WA7ER DEPARTMEN7 NOW E%ISTING — <br />Ofl AS SAME MAY BE HEREAFTER CHANGED. etcr�Eo: X_. <br />MATERIALS I��N.I � IN.'i 2 IN. I <br />PIPE <br />CORPORATION <br />CURB COCK <br />SERVICE BOX <br />METER VALVE <br />METER No. <br />METER 90X <br />COPPER -- GALV. -- STEEL <br />or <br />PLASTIC •• C I <br />____'—___'__'____.— _____.._._____—'— <br />TYPE: � • <br />CONCRETE SMALL LARGE <br />DATE INSTALLED: �`�� <br />l' %(7 �-� OFF <br />COOE I LABOR AND EOUIPMENf R[NTAI. <br />�I_�� D�U_ C'% . - --. __ � <br />� <br />REMA <br />' _— '___.__ _ <br />iPR� AMOUNT <br />� .�._._- -__ —_�� <br />_ ✓[. n,y (�GN`/V SUB TOTAL <br />iJ�L ���� <br />HOUNS RATE <br />_ - _. _ _ . __.. -�I� ._.__ - ___.-__ —.__. <br />— _ - -- --- - - - - - -- _ _ _ _. <br />I <br />--- —I - — <br />- __— <br />— _ _ . _-- — <br />TOTAL �I <br />� �"� 75�0 -- - -- <br />