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APP��1�� <br />No. [ <br />FixEn <br />❑ �%� � t=�.� <br />DEPO5IT <br />.� SERVICE (BY ADORE56)� <br />APPI.ICATION FOR SERVICE SERVICE N° 1 8 51 <br />ORDER <br />CITY OF EVERETT WATER DEPT. �, ^ �v� -7S� <br />DATE �� 19_ <br />W. O. <br />No. -- <br />'/ c/Nv�-: s��l� z v-� <br />3 �9���i/ _,�� BLK.--LOT_—ADD. <br />:���' _CONTRAGTOR <br />f r � Rrif <br />INSTAL �—METEREG SERVICF — <br />I HEPEBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DE°AR7MENT NOW E%ISTING <br />OR AS SAME MAY BE NEREAF7ER GHANGED. slcr+eu:X_ <br />MATERIAL9 �}i IN.I f IN. � 2 IN. <br />PIPE <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX <br />METER VALVE <br />METER No. <br />METER BOX COI <br />C-'I/� O /� ��.^ . <br />A^ . <br />GALV. -- STEEL <br />PLASTIC -- C 1 <br />��� 5� <br />LARGE <br />� ON <br />DATE INSTALLEU: �_ Q_ ry�,j � OF� <br />,7 � � f <br />CODE � LA60R AND EOUIPMENTRENTAL <br />� �I/. i. r �,.: ✓ <br />'��,L'���'uC.L� ir ,�/� <br />����� ��� <br />' .'�' L.'c • �- -� inS' 7 �?�'? . <br />���.'�'�_'-Lt4S-' al 3Z�-- — <br />i n;,,.,.,...,�.•..,..-r�n � i.5.6 <br />� <br />i <br />REAtARKS: <br />_Crl-� ___ -- —_ <br />PRICE � AMOUNT <br />SUB TOTAL <br />HOURB I RATE <br />TOTAL <br />