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NOPL ��S/�+ CITY OF EVERETT ORDEREN� 8034 <br /> APPLICAT�ON FOR WATER SERVICE J� � <br /> �FIXED � DATE�_/�—_1 <br /> oerosir s Q������. � TQ POSTfNG �UN 1 2 00_ _ _ <br /> SERVICE (�r//ADD�S��I =-/e��� " '""�� BLK.. LOT!/AOD. ' <br /> OWNE� ��� — CONTRAGTOR-�_._�j�'�j _ <br /> INSTAL `3/ E ED S RVICE `^'1 ` � • � '�'— ��.� ��__--�� ___ <br /> I NEREBY APPLY FOR OF WATER IN A�ANCE WITH THE � <br /> ORDINANCES AND POLICIES OF THE WATER OEPAR7MENT NOW E%ISTING <br /> OR AS SAME MAY BE HEl1EAFTEH CHANGED. •Ier+eo: X ______________._ ___ _ . _. ____ <br /> MATERIAL6 w' IN. 1 IN. � 3 IN. I I _ Pq� �MOUNT _ <br /> L� <br /> PIPE GOPPER•- GALV.•-STEEL <br /> CORPORATION �� <br /> GURB COGK OT _ ��f�'(�,f/.'�� __ - I — _ <br /> SERVICE BOX PLASTIC -- G I { <br /> - -� No ru�� w Na� �irs -- --� --- <br /> METER VALVE __ .__ _ _--_-_ -._ . __. . ��5 IF�S�[J-f�'� iJU� .__ ___ .___ _____ __._ <br /> METER No. __ _ TVPE: ____�I._� _' ���Y x���� WlLL _ ___ <br /> METER BOX CONCRETE _ , SMALL LARGE_ _��,� � �� S/LS��� �_ _ _ _ <br /> /"�Y v ` . <br /> I <br /> - - .' '� I � ��__ _—_- . — . <br /> � I <br /> -__. _-_—__ �I—_� -- —_ _ -_ - <br /> I � I—I-- - --- <br /> ` ) � °N s �Z - `l <br /> DATS INSTALLED: J`(I��IJ�N I � OFF ��� �yb�� SUB 70TAL <br /> /' <br /> COOE � LABOR AND EOUIPMENf pENTAL � NOURS RAiE <br /> I I <br /> I _' " _—"- '____ — __I _— � <br /> -- I ' ' <br /> --- -- -N4 4GTfON I - - - <br /> � —---- ------ -W'rli- be-taken-or� e�rvice I - - - <br /> � ------- - -�4�P1�wti�ns-withe:tt-� — <br /> ' Backflovi Prevention Consuit�t n <br /> TOl'AL <br /> REMARKS: �_� —_ <br /> /l�n /��D� <br />