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_ � <br /> � <br /> '� <br /> No����� CITY OP EVERETT ORDERE NO. .. . ,� '! I <br /> APPLICATION FOR WATER SERVICE p� <br /> � FIXED v DATE '�' 3-18.2L <br /> U <br /> ri W.O. <br /> � DEPOSIT S � J No._. — <br /> SERVICE (e�Y/��DDNE s)_--T�� � _ �--BLK._ /^� LO� ��ADGS�j.d� <br /> OWNEFL_�T�_"--��� _ —'—CONTRACTOR / <br /> /� FL <br /> INSTAL �'FtETERED SERVICE --- <br /> I HENEBY APPLY FOfl TAE-USE- ATER IN ACCORDANCE WITH THE <br /> OPDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEPE/+FTEN CHANGEU. e�cr+eo: X — - �f�— <br /> MATENIAL9 4i IN. 1 IN. � 2 IN. I � � PRILE AMOUNT <br /> plpE P�Q,S ��- COPPER-•GALV.-STEEL �r �_ <br /> CORPORATION f'I" � SOO�j � _I _ <br /> CURB COCK OT I I <br /> SERVICE BOX PLASTIC -- C � I , <br /> METER VALVE K V C_L7 i — — <br /> MET[R No. G.���P�,S71 TlYPE: gpQ.� I 4 _ _ <br /> METER 80% CONCRETE Id.S1�G SMALL LARGE _ I _ I _ <br /> � p 1 � —L�.-- <br /> L 3 I - -1--� -�- <br /> .��c��-_.--_��„ Tan <.,�8 b – , I I — <br /> __,S� /�5 Cn/d M:X �ra�. S�Fo c.� ——i — - <br /> � ( � � <br /> ON <br /> DATE INSTALLED: C/ Ib 6 / OFF SUB TOTAL <br /> I O <br /> GOOE I L�BOP AND EOUIPMENtPENTAL I NOURS NATE <br /> -i - - -- p�I�� -- <br /> �, <br /> -� �zll I 7" -- <br /> -I �����3-_--� 3G�I 7 "_ <br /> � K�s i►�J I <br /> —� — ---- __� �� .� <br /> . I .i'1S � //+=' <br /> — TOTAL <br /> REMARKS: :� .-�r� i;..:' Ci ..i}'i .' -�� / f%G'.�.'r�� .V —_ <br /> � <br />