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s,��„-�� �vsl,.�,1 5 �s �i; <br /> _ APPL. ��,�'i I<� . � CITY OF EVERETT � � SERVIGE rlo ( H H H <br /> � � N0. � ORI]ER <br /> APPLICATION FOR WATER SERVICE �y-/ —1e����� <br /> � , DATE_ � L�J - —L1 <br /> � FIXLD <br /> rJ W. O. <br /> � DEPOSIT ��•� No._— <br /> SERVICE (BY AODRE88/)� " ��'� t I�t " ��__BLK.____--LOL____._ADD.--__—____ <br /> OWNER��`-�- -����� CONTRACTOR-�I���J�.� �C�- — <br /> ���� LA � <br /> INSTALL__�=-�METERED SERVICE—_- --- - ----��------- <br /> I HEREBY APPLY FOR 7f7E USE OF WATER IN ACCOR�ANCE WITH THE <br /> OflDINANCES AND POIICIES OF THE WATER DEPARTMENT NOW E%ISTING _j/ G �1 7 u,v' <br /> OR AS SAME MAY DE HEFEAFTER CHA4GED. s���Eo: �.�rl—�-J��l�"- - --- -- <br /> MATERIALS �iiN. IIN. '� 21N. ' PRICE AMOUNT <br /> �{ . n �J % <br /> PIPE �j ICJ�/�'l) �/ COPPER - GALV.- STEEL��,r> ��I--_I--�I <br /> -_I_ _. _._— ___ _ <br /> -�—__- _'_� _ <br /> CORPORATION } �����?�% ___ I i _.._ __ — <br /> ��Ra � a,- 3 °!�>D i� 7 _1 — � '� '__ --- -- — <br /> _—�-- I --�- , <br /> SERVICE BOX PLASTIC -- C 1 _ _ ___ <br /> __— --T__. _. - __— <br /> METER VALVE � . <br /> _ .. .._'—_— '__ I _'_—' ___I '_'_ � .____ . . ._-_'. _-- <br /> -_ __'- ' __ —i _ . <br /> METER No./�C�� r,� / ._TVPE: � ./_-_----- <br /> - � . _ _—_ _ _ '__ —" <br /> -_ 3, � <br /> METER BOX(� CONCRETE _� - LARGE- I i I <br /> —��� ; _G'{;_"1-� �-�--�--_ -- ---- -- -- <br /> �1�1. � -r�--�`�7-- - I s --- — — <br /> . , •�' — <br /> �/��t-�- ; ---� <br /> �,�. ,: ���_ �, -� � - - -- - <br /> l'o K,.�l 3 �la����`�� — = –� -- -- -— <br /> --�--- — <br /> .�n.,�':✓�y-��-1��/.%�.— — �— �--�--�— --- <br /> I � <br /> � ON <br /> DATE INSTALLED:/ Ih/ /-�'1 �OFF SUB TOTAL <br /> / �./ , <br /> COOE � IABOR ANU EOUIPMENfRENTAL I HOURS �.AiE <br /> �I � -LL/ "_—___. " '_.—___-_"_ _ .___—_.__ " - - _ <br /> I 7 I s �j-- -- — —� —I�---- — -- <br /> -- -- — --- <br /> , , /� <br /> , � .5 c,�_— v <br /> � �� 9 .� S `- /� �/ - � <br /> _-_—��___ . - -.J. ._— �i.J"� I—._—. _ _._._—- — <br /> — -- — <br /> i�-�.r ^�/ �ry�'t�—�-- / -- ------- -- — -- - -- — <br /> —�—�.s��� ��"�l%==�'U�/_!:� 1 __ -- — II —. -- ---- -- — <br /> � _ <br /> TOTAL <br /> REMARKS: <br />