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APPL. �J� ��� <br /> IVo. � CITY OF EVERETT SERVICE <br /> FIXED /a J UG n <br /> APPLICATION FOR WATER SERVICE ORDER N� 7326 <br /> DATE-1i��_�I-_ !f l �B Q� <br /> �Eros�T� Tp pOSTING �,o l V -" <br /> W.o. <br /> �7 �/ /� /"1/1 /lI No, <br /> SERVICE l�v o�n�l- �-,�.�/_ ( / ����GL//,��}�F �/.// f /li/,1. � /�� � <br /> OWNE " �� / •�K•- LOT�yLqDD. � <br /> �EA��Eb_E_y'�� ��,�yGTCONTRACTOR -- <br /> IN57AL 'f-j� #//�� J� -_ <br /> I HEREBY APPIy FO �; �'�"p� � � �/� <br /> ORDINANCES AND POLICIE�S�EpF 7HE W�TEq DEPARTMENi NOWWE%S71NG yy� <br /> OR AS S�ME MAY BE HEREAFTER CHANGED. �,. 1 1 ' , <br /> BIGNED: X .. <br /> MATERIALR -----'------_ .__ <br /> �4 IN. I IN. � 3 IN. � �_� <br /> PIP "�Y�(��� - / PRICE �MOUNT <br /> CORPORA710N v f <br /> �_�I- �_ ` <br /> CURB COCK OT '-- ___� <br /> SERVICE BOX I <br /> PLASTIC -- C I I _ <br /> —''�= S�7_T you 3 36 y 1 � — — — <br /> METE��, j� � TYPE: - I __- <br /> METER BOX CONCRET I `� '- -- <br /> SMALL LARGE - - <br /> c����_� y�,�_,v_.3_5'� ---� - -- <br /> c'_o dl���o� y��--- -� -- _I� - <br /> � I <br /> r� n �-fJ 3 `j /Jn0 '��� � --�— --�—I— — �— <br /> —�}�J�/� "'�Ya� J_7 — --- <br /> �oYoao� 6 � y --- -�—I— — <br /> „ / I �� — — <br /> !r G -� 3 ��, i� 3/ - / I I� --- _ <br /> DATEINSTALLED: 4 ON <br /> 8_ � " � �/ I ❑ �FF SUB TOTAL <br /> CODE I L�BOp AND EOUIPMENf RENI'�L <br /> � � �� Q HOt1R5 R�TE <br /> � U _ I <br /> --I�_. _ <br /> ' -7{�-+��o-. 1�EJ �11��� lA1 � <br /> I - "-��:d �l a'-S...,__�,_I - ___- <br /> if� t1�F'.��1`:I�IG(I__ , ����----�I����� _ <br /> - I --_-____ � .. . ....;' ;.:..�, - <br /> .`y � <br /> REMARKS: � � T07AL <br /> �f' 1�'1 Gf: !'n/ry G-1' D 1=P�- C./�t r,r . 9- <br /> ��r�I7-- vtD nY7oTfrr / j i7 <br /> � <br />