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I� <br /> . • ArrL. ���9 CITY OF EVERETT , , � ORDERE NO. ii �(4 � <br /> No. qppLICATION FOR WATER SERVICE <br /> �� � <br /> FIXED �t, �� 2� fi.-j � DAT 10 <br /> ❑ DEP091T ��(�}�e0 ' �/d� `' , � 2I�� W.O. <br /> ❑ --�__�_ �S.�Z' l70/7K � � � �Q ' 3'�— <br /> C SERVICE l�r�oo�n�)_,{!'r'�-'4 'r �s-�--�'�— BLK._ LOT��bo. �y��o 70/3� <br /> OWNER.����5 M ��l' CONTRACTOR <br /> INSTAL 3 1:TERED SERVIG /� <br /> I HEREBY AP LY FOR THE USE OF R IN ACCORDANCE WITH THE //N! � <br /> ORDINANCES AND POLICIES OF THE WATER GEPIIRTMENT NOW ExISTING ��y{�,��.;r �/��'L !V� <br /> OR AS S�ME MAY BE HENEAFTER CHANGED. eicr+eo: X. --- <br /> MATEFIALB 1G IN. � IN. � 3 IN. I��^ Pp�CE AMOUNT <br /> r�rg COPPER-•GALV.--STEEL _ �� <br /> CORPORATION _ � — <br /> CURB GOCK OT I I— <br /> SERVICF. BOX PLASTIC •- C I I <br /> METER VA4VE ___. ----- <br /> METER No. ys�lJL� . TYPE: HrRS�hI��I 5S � _— --- <br /> METER BOX CONCRETE SMALL LARGE _ <br /> ���MKt=R 9°•1° � t� I --�—�— <br /> �—�—�-- — — <br /> — �i — <br /> --I �— — <br /> I <br /> ( ��ON <br /> � SUB TOTAL <br /> DATEINSTALLED: � OFF <br /> ��p� I L�BOp ANOEOUIPMENfRENTAL NOUF9 NATE <br /> � �71�'' ` �'� —.� <br /> - � f�• ;�o � 7 � _ I <br /> � ���� _�� -- �-- - <br /> ' -I <br /> � -- -- -- ---�-r-- <br /> — TOTAL � <br /> REMARKS: . __.. � <br /> � ta 'V � a� � « ���� *���� - <br /> . e7 Y � <br /> y . 4 uz `.r <br /> �.T�S'� I� t�4��f���� °�f <br /> ��t w ^{ri ^� y: <br /> ,�'y�.g�t yy"+ t',,,,� �+'"q '��M . <br /> �X;��,,�5���� `t . <br /> _i" ' ;n:A `5'rt°fJz+4 �e . •�'�� <br />