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�yn -ils - � �/- �6z� <br /> ' wpr�. ��J/�� CITY OF EVERETT � seHvic�No � �i23 <br /> � ' No.' / ORDER <br /> APPLICATION FOR WATER SE ��\� <br /> ZDATE���B_ <br /> �IXED ���.. pOSTING � W�°� <br /> � DEPO3IT � - No. � <br /> S � 7`3�- <br /> � SERVICE l�Y wODRu�I� /' /� � '� BLK._ LOT ADD. <br /> OWNEfL- 1�""� CONTRAGTOR_ ` <br /> � // % F��LA � <br /> IKSTAL� �/`+ • �"t����RV�CE <br /> I lfEREBY APPLY FOR 7HE USE OF WATER IN ACCOFDANCE WITH THE � <br /> ORUINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING BIGNED: --'--- <br /> OR AS SAME MAY BE HEHEAFTER CHANGED. <br /> MATERIALS � �H• � �N' i � ��' ' I PA�CE � AMOUHT <br /> P'PE ._ ,V<%Ob d�✓7 COPPER--GALV.••STEEL 2t� I �J <br /> CCORP RATION ^� �av l�Y7 / f —I � � . <br /> CURB COCK �T I I � <br /> SERVICE BOX PLASTIC -- C I _ � I <br /> i <br /> METER VALVE ----- I <br /> TYPE: �4 —__I--I___ _ _ _'- <br /> METER No. -- — - <br /> METER O%� CONCRETE � SMALL LARGE � I�_ _I__ _ <br /> AD�FN 3 5�a� o sy7 — � I—I--� � <br /> 1'�c 3 0 3 _ `/7 � 1 —J—I— <br /> r'r 5� 3 G �_—i I <br /> S/l4d 5��/O! ��y 7 I --�—i= <br /> ,C�i D �L-`_a`a" kl�t° �z� — —I <br /> �_�_I_ <br /> - I � � i <br /> I � � <br /> DATE iNSTALLED: l9�C.� Q 3 <br /> FF SUB TOTAL <br /> LABOR ANO EOUIPMEN( RENTAL � HOURS RATE <br /> CODE � I <br /> I ' I <br /> � I <br /> ���� I:V r11Jt :li1Y I — -- <br /> _ __ a- �'3 � -- — Ji e taken on service I <br /> I 3 6?r s ,. r:ewrors-�vrt;,orn--a--I <br /> IBBCitfIOV� F''•P,�o-{i�tn .-nci� . i � <br /> __ I TOTAL <br /> REMARKS ,� - <br /> - ,�,._,�, _—_ <br />