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�� � <br /> � � x <br /> G H <br /> 9H � <br /> r <br /> H �� <br /> K n <br /> H � <br /> oxo <br /> 'i7 H � <br /> Cp H <br /> yx / <br /> � i'�r� }c ����7-ir..� S//�/i <br /> p SERVICE 0 <br /> p H d �rr�' a7t��7 CITY OF EVERETT ORDER N_ 6 � 5� ' <br /> H� g N?• � APPLICATION FOR 1Vl�TER SERVICE ,�J_�h 7N 1e.Q�- <br /> DATE_ -L/U� J�� � <br /> L]� O �� � <br /> 2 H i�� FIXED � W.o. _ _. __— <br /> H <br /> \ NO.___.-_'_ <br /> �y y � n DEPOSIT f 5�__ <br /> yH , p <br /> �O_UZ��W�_�—_____—BLK._ LOT ADD.__.—_.____.' <br /> � �� SERVICE 1!Y APDRE��1-- R --_ _ <br /> [ L+ p�`Jf , ` „/SY�)L�_ __CONTRACTOR__ <br /> $ tj1 r OWNER—�---(} � ���r�•�f y � ___—__ — <br /> zHvi � Ii �r�(.rJ <br /> H O U� <br /> INSTALL--�`--�EfRED SERVICf------ ---- n '-�--- --_— - <br /> I HENEBY RPPLY FOR THE OSE OF WA7EP IN ACCORDANCE WITH TNE J� � � �1 ,� <br /> ONOINANCES AND POLICIES OF TNE \VATER DEPAN7MENT NOW F.%ISTIHG e�Grvco: Xd�ij�� / �` v" � - --� <br /> Ofl AS SAME MAY BE MEREAFTEfl CH�NGED I � CE ouN <br /> NATERI�LS $IH. 1 IN. i 2 IN. I I i .. � <br /> �i �I <br /> PIPE �O � 7..COPPER--GALV.•-STEEL Z _ :—-- --'--'-- - - ' <br /> �oR� _,3yco18�(�__ --L -'— '�' —�- — -- <br /> -��R �_--�.3'�oo95�f_7 � —' ----�—�,- -- - -- <br /> -- _ � <br />. - PL'�STIC -- G I --. . .-- - —. <br /> SERVICE BOX ___ ___._ __ -.. <br /> - .. _ . __ _'__' <br /> METER VALVE _ --- -- -- � <br /> - - <br /> ._ __ .__ _. _ �� <br /> TVPE: .�L'__. _'._-. .__ _. _ _ '' __' <br /> METERNo. �-/J55�1' __ .- - - _. <br /> — j,�� � `� — — <br /> M_TE BOX ONGRETE SMALL LAFGE _J_ __ --t —.I <br /> � � 3 E - --- - ----�3 _ � _ . __ <br /> f .. - �� ` 7 - � �i-' - -- - -- <br /> � , <br /> ' ��; ' �,��aN=y�- ---- l -- i=,_ - - -- <br /> � � s_ � --- � - - � --- - <br /> � Qc)�3�1 -- -Z�_-` - - , <br /> — - —-- -- --- - <br /> !_i ---5� ���ls���- --- r —'; <br /> -- — -- --- -----� - � -,,-,-- --- ------ <br /> —. I i� oN <br /> ��'�.• Q � OFF SUB TOTAL <br />' � ' ��� DATE INSTALLED: ��q� / D -- <br /> � _+ i NOUR4 RA1C <br /> � ��BOR AND WUIPMENlRCNTAL �� I � — <br /> CODE II S�___ _ - . _ —___-_ <br /> i <br /> �� �}��(T3.�/c�1-- ---__------ --C'.�j��=e-- Z— --- -- -- <br /> '� !1 � --- - --- ?� a8_ � � __ __ --- <br /> —� - 3�� � � --- - - <br /> -- <br /> � ------ - - � <br /> ---- , -- <br /> -- - -- <br /> '� � 1 i - i ------- _ ---�-- - - <br /> ITOTAL <br /> 3'r� z��9 <br /> ."�' -_ ---.____ --- <br /> REMARKS: ___ — -" LGSZ� 5 <br />