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� T � <br />� <br />� ' <br /> � 2y��;�' f�, ' <br /> APP .2 � CITY UF�EVERETT sERvice � � � <br /> No. ORDER NO. <br /> APPLICATION FOR WATER SERVICE qq <br /> � FIXED DATG=�� 3 _18� <br /> 6� <br /> � DEPO3IT ��� � W. O. <br /> —__ No.— _---.. <br /> SERVICE �ev wooaesel—.1�----�;�,/-�'���¢7__� — BLK.���OT/-�ADO.-FLCn��f�_ <br /> OWNER�l��fly'-�___�?-f{���"//____CONTRACTOR __ <br /> �1 �/ FLAT �, <br /> INSTALL�� filETERED SERVICE . _ —_. __ _ <br /> I MEPEBY APPLY FOR TNE USE OF WA7ER IN ACCORDANCE WITH THE �'� <br /> ONDINANCES AND POLICIES OF TNE Wf,TER �EPAqTMENT NOW E%ISTING � ��� p / �J <br /> OR AS SAME MAY UE HEREAFTER CNANGED. sieNeo: X. '�1�'I_`=��__ _ � . ._ <br /> MATERIALS Y� IN.�I21N. I � PHICt- AMOUNT <br /> PIPE �� � � - � �- COPPER-• GALV._STEEL � �� ��_ <br /> CORPORATION _ � _ <br /> CURB COCK OT � I <br /> SERVICE BOX PLASTIG •- C I I <br /> METER VALVE I.' � �a.t <br /> - --�=----1���4 '�7-�� -- - -L- -- - -- - <br /> METER No. ��,��� _.TYPE:1�;-c��„���,.i...L.l ,p ! _�� —__ _—� _ <br /> METER BOX CONCRETE�`` �,(;,,G`�ALL LARGE ' � r <br /> — _ ,. '. k�,.—�_._-".-_ . I_-- _ <br /> i .�f- -'� � �,�. —___ —__—_ I_ i �� — — <br /> �'� r`�"7 • . _ --I � —_ — -- <br /> � ,� <br /> ^ �l / tl '/ ��'. k.; ,4 F I + <br /> _' i . •.e-«�C��'!�y_t.b� � (.?1 ';. � Gtl.�—j�Y f N:c"�.c _ <br /> .� �.,{��, �. ` I ,�i <br /> — �.�,�l�. " 'E:>€� — , .! a`",r;. << � I � <br /> , .� t� ON <br />� DATE INSTALLED: , =�'. - �� ,�..:, �� _�' �� I �� O OFF SUB TOTAL <br /> COOE � LA60R ANO EOUIPMEN!RENTAL ; HOUI15 HATE <br /> I �� �''r 1,� .�� -I ��i - <br /> _I �'' � r ^ /t ��Ir I_� -. <br /> �7 r <br /> I ��/ /'��- –����__`�_���— -- <br /> - .5' � — <br /> —� -- <br /> — i — <br /> —� —— -- �--- <br /> 1 TOTAL <br /> REMARKS: <br />