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� � � <br /> � y5 <br /> Q H <br /> 9H � <br /> H�� <br /> fC C� <br /> H � <br /> �H�1 <br /> N <br /> Hx <br /> � Ht7 <br /> OH �y <br /> �� NC <br /> (�]Y n <br /> �y � SER�"E - s i i s <br /> H.y APPL. � ,7 CITY OF EVEiRETT ORDER �,i° <br /> �� y No. ��;-���, r� qppLICATION FOR �'L�.TER SERVICE 1 I�-1e���� I <br /> OATE_—LJ <br /> FI%ED <br /> �� � �' ['Y:`_ N�• <br /> � GEPO5IT s ��� — <br /> H f/� <br /> yOtn �, ���4 � �' � _ ,.�� � _ . <br /> SER\IICE (eY wDOR[e//) j ��BLK.- LOT ADD.— <br /> � �f �I���(����� 'f'(.IJ������� COhTRACTOR <br /> OWNER�i� / <br /> I//'II FLA7—,� � % ��IlI �i�„_{,� , <br /> INSTALL�—METERE� SERVIC�—LLC <br /> l <br /> I HERE6Y APPLY FOR E USE OF WATER IN ACCONDAHCE W�TH THE <br /> OPDINANLES ANU POLICIES OF THE WA7ER DEPARTMENT NOW E%ISTING utcr+co: X _ ------------ <br /> OH AS SAME MAY BE HEREAFTER CHANGED. ' <br /> MATENIAL6 �G IN. � IN. � 2 IN. � I PPICE AMOUNT <br /> �. P�pE COPPER•• GALV.••STEEL _��_ <br /> / —� <br /> I I��' � CORPORATION — — ' <br /> g�� I <br /> ' CURB COCK OT __ — <br /> 1 SERVICE BOR PLASTIC -- C 1 � _ _ _ <br /> �� <br /> METER VALVE <br /> � ' ' METER No._ 1 �I Z �_ _ TVPE: (�71�L f 2I� � <br /> M E T E R B O X CONCRETE SMALL LARGE ___I__ �__ <br /> � �1,' I —� <br /> � <br /> 'r�. —— _ I �— <br /> �= I � <br /> I _� __ <br /> r_� � ON <br /> � a,—. DATE INSTALLED: � /z L'�-Y'C/ I � n OFF SUB TOTAL _ <br /> �, COOE � I�BOR ANO ECUIPMENf PENTAI � HOUHS HME <br /> � <br /> I !' I � � � � l'-%/"�F'1)!7r/' ii�— <br /> i I <br /> ` '_ —I ______ -- I_—. __' -. <br /> \ I� I — <br /> II '_— � _— _. I __ <br /> I � <br /> — TOTAL <br /> REMARKS: _ <br /> ��i <br />