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-���-1F1- c�� <br /> AFPL. <br /> ��o. �' G}/G� � CITY OF EVERETT 5tK•'icENp 7 �1 � 8 <br /> OROER <br /> 8�//� � APPLICATION FOR WATER SERVICE <br /> � FI%ED /� r, �,i DATE���_�p� <br /> �oerosrc s ��t�� TV �lU J i I IV G ^� U w.o. <br /> � No. <br /> � .,� ��30 /�'�uo/ S� <br /> aERVICE ��r�oo�u�� BLK._ LOT ADD. <br /> OWNE� V� � CONTRACTOR <br /> // - -- <br /> . INSTAL ME7ERED ERVICE__��� <br /> I XEREBY APPLY FO1. THE USE OF WATEN IN ICCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING ----� � - <br /> OR AS SAME MAY BE HEREAFTER CHANGE�. ncr+eo: X ___ <br /> MATENI�L6 W IN. 1 IN. � 2 Iry, I �� I PRICE ' AMOUNT <br /> ��{� <br /> PIPE COPPER•- GALV.-- S7EEL <br /> CORPORATION �� --� <br /> CURB COCK OT I I <br /> SERVICE BOX PLASTIC •• C I I � I <br /> — --1--�— � --. <br /> - METER VAWE -_—___---_ _-_ . — . I __._ _.-_ - ._ __. - <br /> METER No. /Q ��_ TVPE: I •� i <br /> �'"--� _ . _ -__-_-_- _-___— _._ <br /> METER BOX CONCRETE SMALL LARGE � � � <br /> -__ _- __—�-__i—.i -__ _.__- -- <br /> -_ _�I _— <br /> — _ I �.�!_!— — <br /> _ I --7 I I - — <br /> — I_ ' —�{II—I_ <br /> '_ __ I_� I-I—_ _- <br /> I ���- <br /> �7 ON <br /> DATE INSTALLED: `7 � � � � 3 I � OFF SUB TOTAL <br /> / <br /> COOE � LABOP ANDEOUIPMENfRENT�L � MOURS pATE <br /> I I <br /> I -_-_ - __I <br /> — _ I . <br /> --- --- -iVO—ACTiD�—�— --- <br /> � —�Arll- e taken on servicel <br /> ---- ------ -a}3Rlic:rtions-tvitimnYa—` _ <br /> — i Back/low ��iocLConsuliaii� — — <br /> TOTAL <br /> REMARKS: <br />