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APPL. �2/��(O . ,. <br />No, � Q CITY OF EVERETT SERVICE <br />APPLICATION FOR WATER SERVICE ORDER NO. ..� it <br />� FIXED q' q� , <br />� DATE_(1_�%�_ _-- � 9� <br />� DEPOSIT S �O <br />W. O. <br />No._ <br />SERVICE�eY�DDREBBI_ Q ,_� <br />/ ..Fli <br />INSTAL ME' <br />� HEREBY APPLY FOR THE <br />ORDINANC�,, AND POLICIES <br />OR AS SAME MAY BE NFPI <br />PIPE <br />GORPORATION <br />CURB COCK <br />SERVICE BOX <br />METER VAWE <br />METER No. <br />ME7ER BOX <br />OT <br />� ��k-L.---_BLK.-.___LOT�__A""..�i?���� � <br />--s�..�ts_/� Gi�=� � <br />� "'�'s-�--� —_CONTRACTOR____ _ <br />'Ef ED SERVICE___ . ____ _ <br />USE OF WpTER IN ACCORDANCE WITH THE A <br />OF THE WATER DEPARTMENT NnW E%ISTING -`��/ �/ y/_ <br />AFTER CHANGED. BIGNEo: X .L.- y <br />MATERIAL9 - � --'--- <br />— Vi IN. 1 IN. 2 IN. I �'RICE qMOUNT <br />COPPER--GALV.»STEEL �I�I I � <br />PLASTIC - C I <br />—_-�___- TYPE: _ __. _��_I_-� <br />CONCRETE SMALL LARGE <br />DAYE INSTALLED: �� V�� <br />�' I - l', S � (] OFF <br />CODE I LABOq ANDEQUIPMENf iENTAL <br />I/��� [• �4 7.�'ii� % <br />� - --==�=--- --- - <br />� <br />� —. -- <br />_, <br />i �_�� 0 / - <br />� ------ - <br />� --- - <br />REMARKS: <br />SUB 70TAL <br />HOURS R.�TE <br />Te X � 1 /f-�2 <br />/�ll��I j �� -- <br />tzi� � � �,----- <br />---�-- - <br />T07AL <br />__. ___—_ -_-._.. ___ __--_ �- <br />\ ----- <br />