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nrR!�f��y��G� APPLICATION FOR SERVICE SERVICE n� Z?q9 <br />np ORDER <br />CITY OF EVERETT WATER DEPT. ; J�� �, �,� <br />onre--- — -- --�e.�— <br />� FIXED <br />!"— w. o. <br />� � DE?OSIT S_?` ? ____ No.__ --.___--_-.-___.__ <br />� / L i'" �7 <br />� SERVICE IBVAODNE98)-f! L7 ' "1��y�CV � �'S+__—BLK.-_.-1.0T_ S -_ ADD..L�- '���R=�: <br />/� �r7, - r.r' <br />�- ,=�= W o H i <br />I OWNER�`=,5;�._-U �1'-L �_.�r�.T�. _CONTRACTOR - -- <br />� FLAT-� "� - -� <br />I INSTAL�/METERED SERVICE— -- — <br />; I HEREBY APPLY FORVHE_U56-OF-WATER IN ACCORDANCE WITH THE p// � ./ / <br />� ORDINANCES AND POL ;IES OF THE WA7ER DEPARTMENT NOW E%ISiING A/ I J��� /,S( i .�-� <br />OR AS SAME MAY BE HEHEAFiER CHANGED. <br />B�cNeo: 7N'� °=rf.....__�- �_�1L�_ �_ _. <br />~ MATERIALB I i5 IN. � 1 IN. i 3 IN. �_ _�_I �AICE L_�MOUNT <br />I PIPE <br />'� CORPORATION <br />� CURB COCK OT <br />I <br />� SERVICE BOX _ <br />� METER VALVE <br />M� ETER No. S�J rJ <br />� CME7_ E�F' a�X <br />i <br />�—� <br />i <br />�� D/�TE INSTALLED: <br />COfIEI I <br />GALV. •• STEEL <br />P!_ASTIC -- C I <br />____-_7YPE: ��C%I��4. y/. I .`6 <br />H SMALL� LARGE <br />'/'I�%' �(� I ❑ OFF <br />LADOR ANO EOUIPMENf RENTAL <br />�DA <br />� <br />-- --- -- <br />_-- -- ----- <br />� � / -- ��--�1'1' F <br />I I � 7 � 4s — �'2 //__ ... <br />i �; - --- - <br />-- --- ,� 3 .2.r'_ <br />I I�tIGI' f/, _ _ �'I. >�r _.�"3 �.t._ <br />� I < t 3 �/ ;i_rrs <br />� ' -- — ----- <br />REMARKS: /� � .� � , � . <br />. -.__"..___. _. ___r:._ J.__ <br />i <br />SUB TOTAL <br />HOURS RATE <br />�7 <br />—I 7-- --- -- <br />--- ---- -- <br />--�I 7 __— -- --- <br />-� - - _ <br />� <br />TOTAL <br />