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, <br /> NOPL �9 8 2 6 APPLICATION FOR SERVICE SERVICE N° 5 ]$ <br /> ORDER <br /> ��cr; � CITY OF EVERETT WATER DEPT. ,, <br /> � FIXED DAT �Ee�t�=.' /:i _19G,5/ <br /> r <br /> �'DEPOSIT �f � � <br /> 5-� tv. o. <br /> --- No. _ _ <br /> / <br /> SERVICEfev�oonnal��'�`' - ��'� A��'�^ _BLK._—__LOT�,LAD��/= +�`^ <br /> J/ �_ _ <br /> � <br /> / / / <br /> � <br /> OWNER _L C�-�'-�'' -e�^�� CONTRACTt�R/�.,.G� y ��-�z N��'r <br /> /i YifF'f �� / <br /> INSTAL ?�.j�.__METERED SERVICE _—_ _ __ <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE � � r�/ <br /> OHDINANCES AND POLIQES OF THE WATER DEPARTMENT NOW EXinTING 1 •�� /J <br /> OR AS SAME MAY BE HEREAFTER CHANGED. eicN[o: X�_f�:[_______� cL� ; ( .ti__ <br /> MATERIALS j� �N.I � IN. I 2 IN. I ��—� ppICE ' AMOUNT <br /> _ -� _ � I <br /> PIPe �COppER- GALV.--STEEL �j_�' �S' ��a�L'i4'_ <br /> CORPORMION � L�� <br /> _ �, _ �_ �� <br /> CURB COCK OT I � �--- <br /> SERVIGE BOX PLASTIC -- C 1 I � <br /> METER VALVE __ __ % _ I — _ _ —� � <br /> METE�__No. YO/(J .� '�YJ ii ' PE:-� . . I` p6 I J'fL���, <br /> y-- <br /> METER BOX CONCRETE �MALL ' LARGE � I L l y�5 <br /> ���,�. /cL � 7S i / ---- -I�--_ 6U .i � <br /> L— <br /> � � I i-- <br /> I -- �. <br /> � -- -- <br /> � � � <br /> ON <br /> DATE INSTALLEU: ❑ OFF ,� �� SUB TOTAI. ' � <br /> '� --i ?_ -l.5 f3= i >!�-r . �G �� <br /> � CODE � LA60R AND EpU1PMENTRENTAL � I MOURS RAT[ ' <br /> � ��� � <br /> i >� � � �/ �1,�.'�, /., <br /> � _ � I� i <br /> � �,�r � C: _...,1 I L� _ "�� � �-- <br /> _ i - — I ��j <br /> � — � �� � <br /> I/7 7_. '� il � <br /> — i - ----- ---- I _-�..� ..��--=�'= <br /> TOTAL ���� �I <br /> REMARKS: <br /> ._.___--—._._ <br /> --•�..�� . __—'— <br /> --... <br /> t'L'�_ <br />