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NOPL���� U� � APPLICATION FOR SERVICE SERVICE j�° � FI S 3 <br />ORDER <br />` o o CITY OF EVERETT WATER DEPT. oAT�� L�-�— --,9� <br />�FIXED I 3- J �'- <br />W. O. <br />� DEPOSIT g No.�- _-- ---- <br />SERVICE (av ADDRE657 � ���Q-��-✓—�/���( - —BLK.= ` LOT-�ADDC� � Q✓ . � . <br />OWNER- `=�Q�C�1�=_ __ _CONTRACTOR _-� A��G= .__ <br />k�.�'Inrq�h_ ' .�.A� <br />�L�'`� hIETERED SERVICE— ----�--- -- --- <br />I HEREBY APPLY FOR 7HE USE OF WATER IN ACCORDANCE WITH THE � <br />ORDINA;7CE5 AND POLICIES OF 7HE \4ATER DEPARTMENT NOW E%ISTING � � J <br />OR AS SAME MAY �E HEREAFTER CHANGED. sicNeo:� �L�._-� ��'V--- <br />PIPE <br />COFtPORATION <br />CURB COCK <br />SERVICE BOX <br />METER VALVF_ <br />METER No. <br />METER BOX <br />�.:i' �7 � <br />.'�711 <br />MATEFIAL^u <br />COPPER } GALV. -- STE[L <br />PLASTIC <br />TYPE: ___ � _?'� <br />GONCRETE SMALL LA�2GE <br />� ON <br />DATE INSTAL�_ED: � _/,/_ j;/ � OFF <br />Y 7 <br />CODE I LA�ORANDEpU1PMEN'fF,:NTAL <br />�_ � �: !1� �. � ir._t�_ — _ _ <br />.�L'_�iL� <br />--� �rf : � i � L' eC_—__�a'_/_L— <br />---�''fi'ir .l�_-f�l�s :.— ���'--- <br />RE".'ARKS: ^ <br />___'_' <br />_lJ_-__ ' <br />�C�� 6 <br />SS IN. � f:N. I 2 IN. <br />7 <br />�pICE Il AMOUNT <br />SUB TOTAL <br />` <br />� HOURS RNTL' <br />iI _`� _ <br />�� <br />TOTAL <br />�I — - <br />,, — -- <br />