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. . .�.,._..__'_�. . - . + <br /> �P�L SERVICE <br /> ��> - � ��/ CITY OF EVERETT ORDER NO. <br /> APPLICATION FOR WATER SERVICE �J . <br /> �� FIXED DATE_,L,/) _iBL� <br /> j-� GEPOSIT f � '�� <br /> �—L_� W. O. <br /> No._' <br /> �i / f� ��r Li+ L ,;�,/� � <br /> SERVIC -(BY AOORE 7 i�91�__�CJ I�y (/(' - �,� �{�y�( ' ,�to_I <br /> �� �/ —_ <br /> BLK..__LOT qp <br /> OWNEQ�%��_C<,r—�.h-���->^�..�C��.,,t,�� _C ..-��p GONTRACTOR__ <br /> �qi��1 /' FLAT i ' <br /> �NSTALL.—.'�____METERED SERVICE__. _ _ ._ ___ , <br /> I HEREBY APP�Y FOR THE USE OF WATER IM1' ACCOflDaNCE WI7H THE <br /> OROINANCEi AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> Ok AS SAMG MAY OE HEREAFTER CHANGED. eicHeo: X _.___ <br /> MATERIALS I Yi IN.� 1 IN. j 2 IN. � --�_��"-�� ������ �� -�--����- <br /> '- �� � - PFICE AMOUNT <br /> PIPE �"P:;.� `'< <�� COPPER -- GALV. - STEEL � � I I � <br /> CORPORATION `� I <br /> � �—��— — <br /> — I <br /> —_—__— .— �i <br /> GURB COCK _OT __ i -- <br /> _SERVICE BOX PLASTIC -. C I � <br /> METER VALVE ____"__ GO R I� ____ __ J --'—___ _ . <br /> ( J/ <br /> METER No._L_� :�> _ .,TYPE: �DT�'� � " — J -- _ . _'- -_— <br /> _ -�_-.__ <br /> METER BOX CONCRETE'S�'r"� SMALL LARGE --�_ <br /> . . _.�_ �1�--. _—I ' I —- —_. <br /> �.._ <br /> .?}% �.,GL- � �T�,�=, i qJ�S�;r,_ � � -- - <br /> . ,;� ".S%�J ��{L. L X -- —�1—.�— -— -- - — . <br /> _ a�x n�' • ,��� s S`�'�'�_� ___ I I I � <br /> -- —��--='� —�-- I,Z - � , — --- — <br /> " �.� - • - .> >.. . F — —. - __ I I '/ ___ .___—_.—,,—_ --- — <br /> i �l oN � <br /> DATE IYSTALLED:�r � � _ ��� � OFF SUB TOTAL <br /> _COE 'I LA�OP wND EqUIPMENfRENTAL HOlIRS pATE <br /> ---- -- — _ —_ " �'.,_ . ,.r I /J - - - <br /> / ✓. ."�_--- . <br /> —� _ I i�— -- -- <br /> -- --���_� _�-� ;�•'r., /! I l o _ <br /> —; --- --- -- --���,v I� - -- — <br /> - ------ - _ - --- -- --- ��-- - — - -- <br /> _ - - ----- ---- �--- — - - — <br /> TOTAL <br /> REMARKS: -+� -� � <br /> Cc.D_ � . � .,� ...l�r. ,., ,S ��, n,,�-,� � ; ,':�,-� o��;r „]<,/C/- � �.e J--'' � - . _ <br /> r <br /> r • , - � . � <br />