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, <br /> APPL"` � � �+�'� � I <br /> No. i.'.' � � CITY OF EVERETT SERVICE ^ . <br /> APPUCATION FOR WATER SERVICE ORDER NO. � . . � <br /> �- FIXED DATE�.��Y� _�8� <br /> � DEP0517 s �23 y -v� W.O. <br /> - NO.— ______ <br /> }�� /� ',-',/ r <br /> SERVIGE caY �noNEse1/���`= -.G�����—_ BLK.�LOT�LADO,���_� <br /> 7 <br /> OWNE Q`!t,����j�L,�iSVF����. _ _CONTRACTOR _ <br /> F�ET <br /> INSTALL�L��.7E7ERED SERVIGE? _--_—_—_ <br /> �� <br /> 1 HEPEBY hPPLY �OR TNE USE OF WATEF IN ACCORDAHCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTM[NT NOW EXISTING <br /> OR AS SAME MAY 9E HEREAfTER CNANGED. eicHeo:X - _�__ <br /> MATERIALS 1i IN. � IN. � 2 IN. ' I � � PRICE AMDUNT <br /> �PE ��(, � �L COPPER•• GALV.--STEEL �� � <br /> CrJRPORATICN_ �' 5PO5 _ — _�--�--��I—�� — <br /> —_ — _ <br /> CURB COCK OT �� �I <br /> ' _ _'—. _'___'_. — —___'__-- __ _ _ _ -' <br /> SERVICE BOX _ _ PLASTIC -- C I_ I I <br /> METER VAWE ! ' <br /> ME7ER No. �jSLN . _ . . PW";PE:���III .._I •.S— '— --- .I _.— _ __.— <br /> . _ . _ __. _ __ __i. __— _ _ <br /> METER BO% _ CONCRETE _ _ SMAL LARGE � � <br /> - k v�Z - ---_ _ _ --�-�--� ---�—''— --- <br /> -- - - . _- - -- — -- -- — <br /> —�l5_c�_?3 -- _ __ I _� _ i __ _ — <br /> —'f w�� �gP �..�L�Clah,� �f So 5, 3I_1—i — i --- — <br /> -- ---- -- - -- _ __ . - — <br /> I I I I ' <br /> ON <br /> DATE INSTALLED: / ��J � �Q ^ I � OFF SUB 70TAL <br /> v Cl v� <br /> COOE I LABOp AN�EOUIPMEN f RENT/�L HOURS pATE <br /> _ -5'��C ��FhrZ' - <br /> � yvs _0_� Y�r_n� f1'�-��- -- <br /> ' _ _ � z�[ _ �y_-- -- - <br /> -- ' +� - <br /> —i - -- ----- -- — <br /> --� - - <br /> _ � -- - ---- —�— — --- — <br /> � TOTAL <br /> REMARKS: � <br />