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NOPL �� CITY O� EVERETT ORDE'RE N° 690 ? <br /> � � � <br /> APPUCATION FOR 14A1�ER S[R'dICE � �� �� <br /> FIXED DATE_.-__._ _ _18___ <br /> � �; __ <br /> Gj DEPOSIT �"-� N 0�_ _�___ <br /> . '..;,� _-__ <br /> � c( X� / �1J�y�7� <br /> /))) // � tY/ <br /> SERVICEI�v AoDe[�1�)��L � �� �/ ""- ___BLK.'___�'pT��ADD.-_ !/ ,f�` <br /> OWNERILI��� l`�����__CONTRACTOR" --�`1���i._L`�. <br /> INSTAL�-1 L,IETCffED SERVICE�v-_ �/// n <br /> �-7-�--��--__ {� /J -- _ _ __ _-- <br /> 1 HEREBY �PPLY FOR 'F'E USE OF WATER IN ACCOPDANCE WITH THE / // � <br /> ORDINANCES AND POLICIlS OF THE WATEfl DEPAflTMENT NOW E%ISTING �ll� / — <br /> OR AS SAME MAY BE MEREAFTCR CHANGED. elcrvc�: % C �l� <br /> MATERUL6 k IN. 1 IN. � 3 IN. � PPICE �MOUNT <br /> PIPE COPPER--GALV.--STEEL � � <br /> -__ _ .._-__ _i__--i__ _�_._._ -_-_ __ _ <br /> CORPORATION � <br /> I <br /> CURB COCK OT___ � � I <br /> SERVICE 90X PLASTIC -- C 1 I <br /> - — __ <br /> — _'__' <br /> METER VALVE I _ <br /> __ '-___"- _ _ _-_' __. __.. .. ,* -__ —i--__ _' ...._. ._._ _.._- <br /> METER No. TVPE: I <br /> __.__'_'.�_ . _ _._. _' _. _ I ..__'--_ I _ ___— __- -'_ <br /> METER BOX CONCRETE ___ SMALL LARGE I 1 __ <br /> -_ I.--_�__—'I '_ <br /> __-- —_- '—____ . _ - _ '_ _�"'- _— _ _ <br /> - _ — I � - <br /> _— I I -_._ _ _ -_ <br /> - - ___-_---'_— —� I I—i _--_' _�' _ <br /> I <br /> � I C �O N <br /> DATE INSTALLEO: ( I Z7 !U � OFF SUB TOTAL <br /> COOE I LABOp AND EOUIPMENf qENiAL � NOORS H\TE <br /> ��s�=L< ��_-__—_ _ . ..._ _ _ <br /> I ' _ . _.__ ' ____._--_. -. ._-_ .__.__.__I _._ .-� __- -_ - __._. <br /> I <br /> —__ - <br /> __-_ . ..___-.. <br /> I I <br /> _- _.- __ _ - �__..___ -_- - _ _.. _ <br /> ___"_I_ _ _. __. _._ —_—_ I -_ --� _-_ _ <br /> -I- __ - _ — _ _ <br /> _ .__ —_—___---__. <br /> __._-- - _ _ _ _._-_-_. _- <br /> �_ � - ..__ __ i- .- ___ ___ <br /> TOTAL I <br /> _PEMARKS: � <br /> - - ��- -�''�--�-7--?--� -- ---- _ _--- -- <br />