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APPL. <br /> No. 2��L��y CITY OF EVERETT StHVICE <br /> APPLICATION FOR WqTER SERVICE ORDER N� � � 4 O <br /> �FfSCED DATE��/LJ_ <br /> ❑ oEroeiT��65� ��CD�� �a— <br /> w.o. <br /> "7 y/-'A /� ,�,�-}- No. <br /> �ERVICE ��r�ooeu�>�� / c �Q�C-Cci(..(� l(J <br /> /� /� �BLK._ LOT AD�._ <br /> OWNER—I—J�� D/1 (�,8�(' <br /> FLAT CONTRACTOR <br /> INSTAL�� ED3$tVIGE <br /> � HEREBY APPLY FOR THE USE OF WATER IN ACCOROANCE WITH THE --� <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. <br /> eieHeo: x —____ __-- I <br /> MATERUL6 �'. IN. 1 IN. i 21N. -�-_'� '--�-- <br /> PIPE ' I PRICE �MOUNT <br /> COPPER-- GALV. •-STEEL I <br /> CORPORATION T I L—.- � <br /> �� �1 <br /> CURB COCK OT I I— � <br /> SERVICE BOX PLASTIG •- C 1 � - <br /> METER VALVE - I <br /> METER No. - _- TYP :—�_ _._._ _I_— —_I- - ___- . __. I ___ _-__ __._.— -- <br /> - ,� � i i. <br /> METER BOX CONCRETE 5 ALL ARGE �_ - - - <br /> --- - -l^� \I �--i____ ____ _ <br /> I tV\ ___�r- - --- <br /> --- - - ---� �.-'-- <br /> - _-- --V'" --- ' -- -- _ <br /> - - ----� i;�-1_ <br /> i I <br /> I � ON <br /> DATEINSTA LED: <br /> � OFF SUB TOTAL <br /> CODE i LABOp AND EOUIPMENf RENTAL <br /> I � HOURS RMC <br /> � — �� I <br /> I <br /> ' _ '_______'_'__ I ' <br /> _.__ NO ACTION I <br /> i - -- <br /> ___ WiU be taken on servir�� <br /> � applications without a <br /> _ i ���aw reven ion onsu a i�,n — <br /> REMARKS: ,/�//����� ��� <br /> TOTAL <br /> v�c <br />