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ArPL. /Jn��� CITY OF EVERETT 5�-�"�`E rf� 7 7 3 3 <br /> No. L"/ ONDER <br /> APPLICATION FOF WATER SLFVICE Kt� <br /> �XED !�� IV ���1.)III�G��._1��1�1i9 / ��� DATE.__ (� �J"t� .iG.____ <br /> 1 <br /> � DEI'OSIT W. O. _ . _.__ <br /> s_1�_ ///��� No._ -_-_._ _ <br /> fERVICE I�� �n�l��-,^�--�� _ ��CONTRACTOR. _LOL�__AD�`s7 - 1_L- <br /> // _ <br /> aWNE 3 c� - - - - — <br /> FLAT <br /> IN6TAL lTEiF� ICE_ - .. -. .__.-__ _ _ _ .- __ _ :� � _ . .. . __ <br /> I XERFBY APPLY FOR THE USE OF WATER IN ACCGRD�N[E wITN TNE � <br /> ORDIN�NCES AND POLICIES O� TNE WATER DEP�RTMENT NOW EllISTING <br /> OR AS 511ME MAY BE HEREAi7ER CMANGED •ICH[o: ,1.,.= . <br /> M4TEPIAL{ 1L IH. 1 IN. IN. I PRIC[ � �NOUHT <br /> FlPE C 7PPER �� GALV. -- STEEL �I _ I_- J <br /> _' ._ __- _ _. _. .. ___. ' '_ '___ ' ____ _ I _ . . _ ' _" __ <br /> GORPORKf10N �� <br /> _ _ ..___ _. _ _. . ___. __ ._-_ �._. _._._ ._ _ .... . _ _. . __ __- <br /> CURB COCK OT ' �� � <br /> -- -- -- --- -- - 1 <br /> SERVICE BOX PLA4TIC -- C I �_ � � <br /> __ _ - . . . . __ _ ..- '- _ _-_- .___. <br /> METER VALVE . � 1 � <br /> _ �i � I. .-_ _- __ _ _ ... _. <br /> METER No. ./ U �G I TVPF�/ I�f�/P � ' � . _.- __._ <br /> � I —_'_'_ <br /> METER BO% CONCRETE SMALL LARGE �I _I_ _ <br /> --"_-_' � ' � . - <br /> I <br /> _ __- -_ _.. _ . __ . . . _ ' _ ___. . _ . __.. . <br /> '-�- -, ---�- - <br /> - --- - ---- �-! �--, _ _ <br /> -- - - � ' _ - ! - <br /> -_-' ON ,' ' '_ <br /> DATE INSTALLED: �.-�� �3 I �l OFF SUB TOTAL - <br /> COD[ j LAOOR �ND EOUIPMENf RCNTAL I� MOUR! R�TE <br /> � I / /^/ I <br /> -�_I�YL�-__. ._. ..- . _. _ _ . . .__- __. __ __- . __"___ ._ -_. ... <br /> _ '_-__--.-_ .'___ . .__ _ _ _ _ -_. -. <br /> I <br /> ---- ---- — ---- Nb A�TI�N� -- <br /> -- -- � Will 6e t+�� n nn s�rv;�� --- — <br /> ------ -- - -' � - - --- � �j�,�il' .:���-ny Withn�.-lj.. . . _ . _ — <br /> —__-_-___. . . _ . . . BaCkl6. .�. P,,.�.�nl+e>n1w�d-...,1,..:, __ . _ _— <br /> TOML <br /> REMARKS:__u'�.4���-_..lL,�._ ..a/ �� �-I __ .. . . . . <br />