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APPL. "/ <br /> No. �'29T57 CITY OF EVERETT SE�V��E(vo 7 g 13 <br /> APPLICATION FOR WqTER SERVICE ORDER <br /> � FIX[Ci DATE�—� __�p� <br /> � DE!`OfIT i �os % T� pncri�r, . -_3 ��-�-I �i�9�9 <br /> . r,,.o. <br /> No. <br /> /6RV��.� l�Y D011q�) � R/�i �^ � <br /> BLK._ �+ADD. <br /> OWNt LOT �—_ <br /> L �/ � T CONTRAGTOR <br /> INSTAL M[T[R[D sERVICc ----- <br /> I HERElY ApLY FOR TNE USE OF WATER IN ACCORDANCE WITM THE ------ <br /> ORDINANCES AND ►OLICIES OF THE WATER DEPARTMENT NOW E%ISTING <br /> OR AS SAYE MAY BE NEREAFTER CMANGED. <br /> ��cnco: x <br /> MAT[111AL� jG IN. 1 IN. � 1 IH. �-_-------- '�—�----_ <br /> r1�E I r���c �MouHr <br /> GOPpER •- GALV.•. STEEL <br /> CORPORATION '— —��_ <br /> CURS COCK OT �-- , --� _ <br /> i — <br /> 3ERVICE COX PLASTIC -. C I I --- — <br /> ME7ER VALVE I <br /> METER No. — �I —�I--- - .__._ ____ <br /> —!��.3L—_ _ ,�PE�,I�c��- � .�___ I ___ <br /> M[TER !OX CONCRETE SMALL LARGE � -' <br /> __ — —___ —i_—__— - _ <br /> ___-- — I—__._i—_ _ . <br /> � <br /> — __I' ��j= — _ <br /> --i <br /> —__— I I i — <br /> �I � I ____ <br /> I � <br /> DATE INSTALLEO: p � �N <br /> �f/i �SI G� � OFF SUB TOTAL <br /> COD[ I LAlOA AND EOUIPMEN/11EHTAL <br /> INOU11� 11ATE <br /> I _.. —_— <br /> � I <br /> — — _ I <br /> ' -__ .___ NO ACTION I <br /> � __-�_ _ <br /> W��� be taken or�ervir� <br /> � applications wifhout a <br /> _ � �7�5 ion onsu t ti�n - <br /> REMARKS: n <br /> TOTAL <br /> O' <br /> 3 <br />