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__ , <br /> i <br /> �PP�, ��D � AVPLICItTION FOR SERVICE SERVICE N° E 5 <br /> No. . ORDER <br /> ��7 C�(�TY� OF EVERETT WA�ER DEPT. �L,/ � 7 L-� <br /> � FIXED ( /� � � /� DATE!_ —16L�- <br /> ��y /7 / \ �'ll�Lili�(1.�� <br /> � DEPO6IT s/�� `� � ' No�_-_---- <br /> SERVICE (Bv ADOREB�1_-�J'� "-- ��i� ��'" �-BLK._---LOT__--ADD.___- ._ I <br /> ,,��uucR'_ ___...._._ _CC'JTRACTOR __— <br /> (�"""_ 3 <br /> �C.c�+0�.1J ..7/,�' FLAT .G _ Q. ��4«� ' <br /> 11�-_.��1NMIFCD SERVI:E___-r` -.-M+•c) - '—A ---_-_ <br /> 7 L <br /> I HEREBY APPLY �ON THE USE OF WATER IN ACCORDANCE WITH THE _� <br /> ORDINANCES AND POLICIES OF THE W�TER L`EPARTMEN7 NOW E%ISTING t� <br /> OR AS S�ME MAY BE HENE�REA CHANGED. ncNc . _ -__-_- -. . — ----- <br /> M�T[PI�L! Y� IN. I IN. � L � PIIICE AMOUNT <br /> PIPE (COPPER,I-GALV..-STEEL _ �5'�___ I S . IDl�nf. <br /> CORPORATION <br /> ~ I� <br /> CURB COGK � _ _ � _ _ ��l� �1� <br /> SERVICE BOX PLASiIC •- C� ___ I I _ b l L.�--�. <br /> METER VAWE _ __ _ _-- <br /> METER No. _�._ _____ TYPE:_ _______I_ �f _ �__ .____-_ - -_ ____ <br /> METER BO% CONCRETE SMALL LARGF � I <br /> � -- -------� --I -- -- I��3� <br /> ``��=�9- _� ��� <br /> _-�/�f._ °P ,�'. .. 1. _ i -- - � <br /> R � �� � x i _ i <br /> _ 3� ..�.e:� � 1 <br /> ��� � � <br /> � —i — — <br /> — -------- ( I — <br /> � ON <br /> DATE INSTALLED: I � OFF ,� �'�j JUB TOTAL � S� <br /> �l-/ 7 -! / �.. ' <br />' COO! � L��OP AND EpUtPMENT RENTAL HOURS PI1T[ I <br /> I —� ] C. � � 7� I <br /> .�J..u.�' _—_ — __ —__'_—___ �-- <br /> I —I_— �_ Ip I <br /> 7 I �1 7n�r � � �. � p� .. <br /> _-���_ - -_ � _ � �-_ II <br /> _i.Q �. ---- -�_L- _ _-.1!_ 3 I'�� I <br /> -�-_� - - -- ------------ ---I- <br /> - ---- - <br /> I ---- - ! 1 <br /> TOTAL `� 7 ��. <br /> REMARKS: � � '_ ___r I , <br /> . � , , <br /> .--__1}i_L�_��._i� —121__ , � c . • _. .i.�_81...Z- - ___. .. <br />` I <br />