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/ ��ia-/�9-�� y-79o9 <br /> NoPL �� �J-�r3 CIl V OF EVERETT ORDER E IV� 7 � O J <br /> APPLICATION FOR WATER SER����T o�re�D�!__—. __io-�2 <br /> �FI%ED n7 ll <br /> 0 oE�os�T �sQ�/ TO POSTING �- Z �- N°� ___ <br /> SERV�CE 1�Y AD U�1�-�� -���y,�,�� J BLK..--LOT_—ADD. <br /> OWNEqL___L� �b�Y�S�r -GONTRAGTOR__..____-_____._ <br /> INBTAL METERED S RVICE_-__-_ _ . .. _--._. __.__.__ <br /> 1 HEREBY APPLY FL`-J O�'T��WATER IN ACCORDANCE WI7H THE -______-.- _ . ._.-_ <br /> ORDINANCES AND POLICIES OF THE WA7ER DEP�RTMENT NOW E%ISTING <br /> OR AS SAME M�Y BE HEREAfTER CHANGED. ■ICHCD: X _ __. _ ._ . . . . _ _ _ . _____ <br /> MATEPI�Li 1L IN.' 1 IN. , 3 IH. I Pq� ♦MOUNT <br /> PIPE COPPLR-- GALV.-- STEEL I <br /> _-'_'___._ ______'_ .__ '-__ _... _�_..._. I __ I'__- '. __- _ <br /> CORPORAT�ON I �_I__� <br /> ___._ . ___-_--_ _-_-- - '____ _. ____J _.. ._.. __ <br /> CURB COCK OT _ ___- _ _ _.__ _ __I I I � <br /> _ -_ - <br /> _.. . ' _ . _- ___.. . __. <br /> SERVICE BOX PLA571G -- C I I <br /> __ - _-_ --� <br /> _ _ _._ I'._'_ ._" <br /> METER VALVE I <br /> . _ _ -_. . . _ _ . _ __ __ _.___ -_ _ .. <br /> / I ___ <br /> METER No. �� U b � 7YPE: I �. I ' <br /> __ _ ..__- _ . _'_ _ — -'___. <br /> . ._.. ._..__. _ _ _ -' <br /> METER BOX CONCRETE SMALL LARGE � I I ' <br /> —__ . ___. . ____ ... i__--I .__-I—_� _ . � _ _ _ <br /> I _ _ - <br /> - ----- _ - _ ---�-- <br /> �-- � , - --- - <br /> ---- ---- --�- - -- - - <br /> I <br /> _-- __ ___ _ . ___ ... -� <br /> __... _--_-. .. <br /> I <br /> _ . . _._ _ . . _._______ _ __. I <br /> __ . . _. __ _____ <br /> 1 <br /> --- -- - — - — --- �-------�---- <br /> � ' I I -- --- -- -- -- <br /> ON <br /> DATE INSTALLED: � �- 2'y' 9�f �-� UFF 'L,L 54B TOTAL <br /> CODC �� LAlOR ANO EOUIPMLN f RENTAL NOURt 11�iE <br /> ���I � � <br /> _____-' _ __ . _._ _ ..._ . . _ _ . . __"_".-_...__ --"_ _"-__--_-___� _— -__- <br /> I <br /> ___"'_____._ _"_—_ _.. _ ..._.___ . . ._..-_ -_-____ _ '-_" <br /> I <br /> _._____" ' _____ . _____ _.. ______ -__-""_ ._- <br /> NO ACTION � <br /> -------- <br /> _ - -- ---- --- --- <br /> i Will be tak_eg g�_�yr i.�e. �_ <br /> -- -- ---- <br /> applications without a ' <br /> —� BaCKtIOW PreVention Consulfa -- -- -- <br /> i �y-- - <br /> - 1 <br /> TOTAL I <br /> REMARKS: f � <br /> u .���>-!�'— - --- - ____ _ _ — — ---- <br /> .�.� is/o�� _ <br />