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w���. ` CITY OF EVERETTT Pn�T���r ORDERE o J � ] � <br /> No. 29J ��J APPLICATION FOR WATER SER�ICE '" �' � � � � ���� ��� 'o— <br /> �/�j'7 �/ DATE <br /> IXED TI� RACTI ! � �C/Jo <br /> �NG �-z� -9� w.o. <br /> � oErosir � ' No._--- <br /> .� �5 lD�_^ -��1J��J LC.� <br /> � � <br /> fERVIGE (�Y ADD11n�1 - / BLK._ LO AD <br /> OWNE�� ��0�� )���Pn / CONTRAGTOR <br /> INSTAL� `�J/� Fu�LTEREY�iRVILE_---� —'----- <br /> � I NERElY �P�LY FOR TXE USE OF W�TER IN ACCORDANCE �MITH THE <br /> ORDINANCES �ND POLICIES OF TNE WATER CEPAR7MENT NOW E%ISTING ��aHEo: % ------------------- <br /> OR AS SAME MAY BE NEREAFTER CH�NGED. <br /> MAT[XI�l6 W IN. 1 IN. 'i S IN. i � P1110E �MOUNT <br /> r�PE COPPER--GALV.•- STEEL__ <br /> —��_ � _ <br /> CORrORATION -_— � <br /> CUP.B COCK OT —I I�— -_ _ <br /> SERVICE BO% PLASTIC -- C 1 � _ _ � <br /> METER VAWE - _._-. -- -- -. -- ____" __-__ _-._ <br /> METER No. �5�27�--. _. _TYPE: G�L�E.I_�'__ I —.=..I- <br /> METER BOX CONCRETE SMALL LARGE _ _ _�_ __I__� __ ___ <br /> _— '.__. __---_ I _I—_I_ <br /> -_ —_'-II _1—ll_ _ <br /> _i <br /> __� I <br /> ____ —I__�_�— <br /> I I I I <br /> I � ON <br /> �ATEINSTAILED:U,��/S��y � f-J <br /> OFF SUB TO7AL <br /> � <br /> LAlOR AND EOUIPMENf RENT�L HOU11! N11TE <br /> COD[ � I <br /> I '__-- �_ _—I <br /> � — <br /> I <br /> � ------- NO ACIIU�I_-�I - ---- <br /> 1� -- -- WiN�e_take�-on3ewic�---- <br /> applications without a � — <br /> � ---Bac ow revenlion Consult�tion <br /> � I TOTAL <br /> REMARKS: p(�/��j/ / p���C� - —. <br />