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a <br /> � <br /> i <br /> AP�'�-• � � �J / APPLICATION FOP, SERVICE SERVICE �° � '� t7 � <br /> No. �✓ orxoe <br /> �C���as CITY OF EVERETT WATER DEPT. / I <br /> rbl' FIXED U DAT -���/����g�� /�'f <br /> J� � / J ; <br /> � DEPOSIT g �� �� W. O. <br /> -p No.—_ _-- , <br /> ' i <br /> SERVICE (e ❑oRE�/s/)/��n � �--/y•> _6LK. LOT. ADD.__ � <br /> OWNER�a'��G.0 �� l !-/�Ll� CONTRACTOF , <br /> INSTALL�/�M�U SERVICE-_._—.-._ <br /> I HEREBY APPI.Y FOR THE USE OF WATER IN ACCORDANCE WITH THE �� <br /> ORDINANCES hND POLICIES OF 7HE WATER DEPAR7MENi P:OW EXISTING p <br /> OR AS SAME MAY BE HEREAFTER CHANGED, sicr�eo: �:l,�j!_j,L-.f;�tt�f_,(�jQj1;yLL'�� � <br /> I.I�TERIALS ?i IN. 1 IN. 2 IN. <br /> �_ I I i_�_�_ PRICE bMOUtlT . <br /> ��Y ' <br /> PIPE �OPPE -- GALV.-- STEEL L�� __ I � J - <br /> I I _ •�I � . <br /> CORPORATION _ _ �__I_ II 31/ L- <br /> _ I �— —��, IC U <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC -- C I I I �� I <br /> METER VALVE � / <br /> METER No./�/L��Z�_Z 3-ZP�PE:.b.C.�-..,-,� — ' _— � �_ I <br /> �- --- - 3_ ?�� <br /> METER BOX CONCRETE �SMALL�.LFFGE � I <br /> - --- — —-I— --— ��67- <br /> � I I <br /> i � I <br /> — ---- --- � �— -- � <br /> � � � � I <br /> C oN <br /> DATE INCTALLED: , . , I �..OFF f �. SUB TOTAL %� �� <br /> COOE I LABOR ANO EOUIPNENT RENTAL HOURS R.1T[ <br /> � ' �� — I`( � / i, <br /> _ � --- — — —� I <br /> I- ,�s _ I 5` ��il I � ' _ <br /> . �— II i , <br /> �'I-- — . --- � —�! i <br /> i ,..-- �.— . .� P� '/ I r— <br /> ' r .. . , ' -., �, , ,. , .%' <br /> __' - � '___'- _--.-._.___---'�� -' � �'i'— r I <br /> ��'_-- _—_-__-_-___- 'I I /// <br /> -' � TOTAL I C,� <br /> REfv1AR1C5: �� <br /> ._. ___-_. _.. .. _. <br /> _ _ _._'_'_' ._ .. <br /> �' <br /> .__ ". ____ ._ .._ _. ._ . ._ _ .._. _. . .. __ _. _. .__ . __ .. . _ _____ . . __. __ . ..- _.___. _�_''_ <br /> a <br />