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rio. � �� ' ` �� CITY OF EVERETT OROERE NO. <br /> P.PPI.ICATION FOF WATER $GRVICE <br /> O FIXED L J��� . DATE __�L��/���__.10��_ <br /> � DEPOSIT s W. O. <br /> __'..._. ____'_ No._'_ -__..-____-- __ . <br /> �7 i <br /> 9ERVICE �eveooen��_IC O7 C �L./kL�U �_1-__ __ . . .elK. - __LOT.l Z__.AOD�Ed_./�ct^2Ff�4_�%.� <br /> OWNER /�//LC/��;'. � �F.�!!N� __ <br /> J ! .- / . _ ___ _ ___' __.__.. CON7RACTOR'_-_'_.'-___' ._ __ ___._ '__' - ____._' <br /> � i FLAi <br /> INSTALL� .._`�SERVICE.�. . . _ _' __ ____ •_ � � /___ _ <br /> I NERE9Y APPL�FOfl TNE USE-bF WATER IN ACCORD�NCE WITH TME //�J, % //�-� � <br /> ORDINANCES ANO POLIQES OF TME WATER DEPAHTMENT NOW E%ISTING /' .�/d�/{y(���/;�.�'r�-'qr< <br /> ON AS SAME M�Y BE HERE�FTER CHANGED eicr�[o: X t J�_. C —�� . <br /> MATERI�Ie M� IH. 1 IN. I 3 IH. P!UC[ AMOUNT <br /> PIPE _ _ __.-_' . ..I_ __ .- ' ' <br /> __ COPPERJGALV.-- STEEL , ' I, _ �_ <br /> _. __--_ . ._ ._..._ . . ___"_- __-_ <br /> CORPORATION ! I I <br /> .- __-_.-_' . ._ __ . .__.. ____ __..___ _.__ �- I <br /> __ -__. _ . . _- . __' -_ <br /> CURB COCK _OT . �.� , � � � <br /> _- -_______. . . _ . _ _ .___ -- � I <br /> SERVICE 00% � -PLASTIC -- C I I � <br /> -_" ' " _ _.' _ '_. . .. .. _"__. ___. .. <br /> MET=R VALVE _ <br /> METER No. .�... TYPE: � � "- --��� �'- -��- �-_-� <br /> � METER BOX CONCRETE SMALL LARGE I I <br /> ' -___ . . . "_ � <br /> _ __ -- _"'-_ _ _ . . I�, / I . .__. <br /> -_-_ <br /> , i - . _ . _. ._ - __-I_._ __ <br /> _'_ _ <br /> _ _ . . __.__�TiL1'.._. _ . __ _�_._, . . __'_. .' '_I— <br /> i � . �. . I -_ .- _. __. <br /> ' OGIJ ���t . �'ci � /i '��'_ � . <br /> - . __� _ . . _.__ _-_ -_ <br /> ' -__ .-__ . _ . . . I . _ . .. ._ _ __.. - <br /> _. - -__ _—' .__. _. <br /> . ._ .. . . . . _. _- ' - _-I'_' __�- -. � . . _. _ .. . ___ <br /> I i I I � <br /> . I L7 ON ' : .l . / <br /> DATE INSTALLED: ' � � ppp ,�� �l SUB TOTAL I <br /> COOE ', L4BOP AND EOUIPMEN f RENTAL ��� " ��% �,��NOUR9 P�TE <br /> r G � ! 1 <br /> .—__—'._-"'_.-.__ .___ __.. . . ' _ _____s_�...�. .. _ . . <br /> � � _ __ _— ___ <br /> . J`.�t.� � .-:� _ , . <br /> __ _. .__ . __..—�— <br /> - (.�,� � C""d � J�rk"�� ; ,, _. __ — <br /> - -'�+ ��7 --- -- - -- <br /> - --- ' ! o f/i�� -- - <br /> :, � — - -- - --- <br /> _ � �/Ocd r L/trlE� c�/ �✓i{. Cic��� o7`i.?�c�7�r� " ,���`I�.1'W!i'nN'S:f�. � - —. -_- --- <br /> TOTAL <br /> REMARKS: �c� S. — 4•'. I�ls�5�/c`�]/ 4 �iis'�.�'Gicf� /"�i/(qr� ��..; c� c,•-i � .� <br /> �1�� . ��r ���t �-� -�� . ,�r �. - , � <br /> � . � ,. . . <br /> - _ -�- - -----�-7S-- <br />