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APPL. �(/ O�� APF'UCAiION FOR SERVICE SERVICE (v° % Q O <br />N� � � � 7 CITY OF EVERETT WATER DEPT. �Ro€R J - `/ <br />/ �"� � DATE �� ��'� __-� _-i� � <br />� FI%ED <br />(< <br />� DEPOSIT t �� J C- �� W. O. <br />L. _ _ . _ _ _ _ No.' _' _ . _ __._ _. <br />..�. _ <br />� � ;i, � <br />SERVICE v�DDRE881_ /(./SL--- .'l - .. �'.�- ' - _ - --.BLK...__ ._l0T __..AOD. _ . <br />_ / <br />� /1 i I <br />OWNER �/L //.� . . L,� (J�� •!� . . . __ _ ._. CONTRACTOR.. ��� •.�, � _. <br />.__'_.' '-'_ _ _'._." <br />� i� .�7 1. <br />IKSTALL"�-c___- METERED BERVICE_ _ . _ _ . _". '_ __ �_ �..--.. _" ___._ _. <br />I NlBEBY APPLY FOR THE USE OF WATER IN ACCOflDhNCE WITH THE � / <br />ONDINANCES FND POLICIES OF THE WATEfl DEPAHTMENT NOW [%ISTING + '( � <br />OR AS S�ME MAY BE MEREAFTER CNANGED •Ic�ieo; /� . _.�-�-`�ir . �._ ____ <br />Inl?ER14L8 1i IN. 1 IN. 2 IN.• � R�CS AMOUNT <br />PIPE CnPPER _. GAL%-- STEEL....'___ ._'_I "__ '_I���I I "� /� I�� <br />CORPORA710N . . �_._.._____ _ _____C��"u•'_�_ I <br />CURB COCK OT <br />SERVICE BO% PLA3TIC �� C I I� <br />—_ _- _ __._-__ __. ..-"-__- <br />METER Vl.LVE . _ _Cxq�!C! .__.__ I <br />' -_ _ . .. ..__ _.__..._' <br />METER No.�`�,}/_ e�JJ�bI�� TYPE� I t{ <br />_ -' __ _ . ___- __ "__ - _. <br />METER BOX CONCRETE SMALL LAfiGq <br />'__- — �'__'__ _ <br />l <' L -79 k� /J%' � <br />-- - ,�G-'3 — —� <br />--- '� �'�� � - �- � <br />- f� ---I-- <br />�� <br />1 /_-1--�--� <br />' I I i <br />_ _I--�.Ci� <br />.; <br />n ON / <br />DATE INSTALLBD://_„�` _`�� �OFF !/iS SUB TOTAL �SL�I/ � <br />!L'�.� - <br />COOE � LABOR AND EOUII'MENT FENTAL I HOUP6 RATE <br />---I i � p ace1--- - - - - — i `>' - I' / , I---- <br />---_ -- -- — — ---- - -' — <br />- ---- ------ -- <br />--- <br />Z���----- I y �/ �;" . <br />------�-- - � - <br />----- ---� - -i - <br />-- - - -- -- - - --- ----- -- _-- <br />- � � -: � <br />. ��_ _ -- __-_ ____ �- -- --- <br />,�w <br />RF.IdAFKS: <br />( / / . _ ._ ... _.._. _____ _-"_. <br />70TAL <br />i <br />