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APPL. �)S�0 / CITY OF EVERETT SERVICE /� (` (` <br />No. O� ORDER NO. �f U� CJ <br />APPLICATION FOR WATER SERVICE ///LLL���O .� py <br />� FIXED � p DAT�_j�3 _iBv�' <br />// <br />� DEPOSIT �_� N � �� __ <br />9ERVICEfevwooR[�s)� �j["�_��_BLK.__—LOT_/�A � _ <br />OWNER �-�f% /// �C�---_2��Sf" CONTRACTOR _ —.._ __ <br />�. //� <br />INSTAU �L—TlETERE� SF.Rv(CE—__— <br />1 HEREBY APPLY FOR THE USE OF WATER IH ACCORDA!iCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CH�NGED. eicNeo:X _ <br />MATEPIALe i4 IN. 1 IN. i 2 IN. <br />PIPE COPPER •• GALV. •- 5TEEL <br />CORPC �.ATION <br />CURB COCK <br />SERVICE BOX <br />ME7ER VALVE <br />METER No. <br />METER BOX <br />OT <br />PLASTIC •• C I <br />GONCRETE <br />DATEINSTALLED: <br />COOE � <br />REMARKS: <br />TYPE: I 15 <br />SMALL LARGE <br />Ob I � OFF <br />7 <br />LABOR ANO EOUIPMENfRENTAL <br />r <br />PpICE O �MOUNT <br />SUB TOTAL <br />MOUR9 I H�TE <br />TUTAL <br />'L <br />O <br />--1 <br />C'1 <br />m <br />�--I � <br />.. -r <br />V1 2 <br />m <br />0 <br />co <br />mo <br />�--� G <br />0 3 <br />-� z <br />x -I <br />m <br />O Z <br />D -I <br />rx <br />.-� <br />—{ N <br />< <br />� <br />O .'0 <br />�a <br />3 <br />--� m <br />x <br />m� <br />� <br />0 <br />or <br />�� m <br />C N <br />3 N <br />m <br />z n <br />-� r <br />• m <br />D <br />A <br />-�i <br />x <br />➢ <br />2 <br />--� <br />2 <br />�--� <br />N <br />Z <br />O <br />--I <br />n <br />m <br />