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APrL!���t � � ^� O . <br />No. i•• �' C1TY OF EVERETT sERvice <br />ORDER NO. . . <br />APPLICATIOM FOR N'ATER SERVICE �! <br />� FIXED DAT',�'.-`�-- G� �-1B� <br />�� <br />� DEPOSIT s_i /'_i _ N '0_ <br />9ERVICE c�vwDoacas)- �' �� �' �/��� �-•'�- �'� " BLK._�LOT � 'AD[JP�-/KE`' �d2 <br />� -�1�1 <br />OWNER_/�_ �`�'"�-° ✓ � -�._?._ '� / CONTRACTOR <br />i�' FLAT -� - <br />INSTALL � E7ERED SERVICE_-__ <br />�-.-. _ <br />I HEREBY APPLY FOR THE I15E OF WATER IN ACCORDANCE WI7H THE /' r i' <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING ��/�T1�� <br />OR AS SAME MAY BE HEREAF7ER CHANGED. eicNco:X A .,� � �l��`� <br />_ MATEHIALS �i IN. � � IN. � 2 IN. I PRICE � AMOUNT <br />PIPE �� �y� �, .('� �GOPPER -- GALV. -- STEEL__ !�.+�� I � � <br />CORPORATION __ L�� �'v�_� -_ .�I —��� -����—� <br />CURB '. •�CK OT <br />SERVICE 90X PLASTIC •• C I <br />METER VAWE I�_1�C_ __ _ . __ _ . _ _ _ <br />METER T_No. �i� C� �i j � TYPE:�� _ _ � � I •b <br />METER BOX CONCR TE.'��• ����SMALL LARGE <br />, i��... '�.�= . _ _ _ ' - _ -_ <br />. ,� �� � � � , . _�. <br />. ' . , ' � ....:Ci <br />� � I <br />% <br />r i � I <br />" � <br />I r CN <br />OATE INSTALLED: ' ' � OFF <br />CODE I UOOR ANp EOUIPMEN! R[NtAL <br />- _-_._� i _" <br />REMARKS <br />�_� i , <br />� 1 �l <br />SUB TOTAL <br />I HOURS I HATE <br />-I /�' .J-l�l--�--� <br />_ "--- -._ . -_ _ . <br />. - / /�c, �� �' �:,� ' �. .('�,1�. <br />' � ' � _ . __ ' 't.._ . . .. � .._ <br />Torn� � <br />