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i <br /> ^"P�. :.ITY OF EVERETT SERVICE <br /> No. z��"3 � qppLICATIJN FOR WATcH SERVICE �RDER Alo 5 3 9 9 <br /> I`� (�� <br /> � FIXED DATE_.�(i.Y�-19._i7.� <br /> / <br /> ac <br /> � DEPOSIT ��j— W. O. <br /> No. <br /> /`� 7 h2,.I,� /�,'n IF�il�n's La,�c��J --- <br /> SERVICEIerwonncol-�I �LZ-5/--J�'-�� '���f—BLK.. LOT_ ADO._ <br /> OWNER�.f111NJLl!_�SI P711__ CONTRACTOR_-!,_L-(`..�_L'q��� <br /> INSTAL!� ,',___rT.�E` T_E�ED FERVICE_-_— - <br /> 1 HEREBY APPLY FOR THE USE OF KATER IN ACCOROANCE WITH THE �(� <br /> OROINANCES FND POLIqES OF THE WATER DEPAHTMENT NOW EXISTING /� I _�/J'� �/,�_ <br /> OR AS SAME MAY BE HEFEAFTER CHANGED. BIGHeo: X f f7� -✓ /V V <br /> M�TiRIpLS 1G IN. 1 IN. � 2 IN. I � ^RICE � AMOUNT <br /> PIPE COPPER-- GALV.•- STEEL I <br /> CORPORATION � —� I <br /> CURB COCK OT I I <br /> SERVICE BOX PLASTIC -- C I I <br /> METER VALVE <br /> _ _. .... _._ -.-_- . Iv�v._-_—- ——--_ -_ _.__.-- _ ___- <br /> fy� p�,��.�t <br /> METER No. �O4�_--. ._ . TYPE:-_ -__-_..I.�� — --_ _- __.- --_ __ <br /> METER BOX CONCRETE SMALL LARGE _ � <br /> -___- _-_. - _ I _�_'__- — <br /> I I__I _I._ - — - _ <br /> _I - _'— _- _- — <br /> —_� _— _ <br /> -- - --- - --�--i--I -- -�-- - - - - <br /> , I �ON <br /> DATE INSTALLED: ��22��(� OFF - SUB TOTAL <br /> 0 <br /> CODE I UBOR ANO WUIPMENf PENTAL _�HOURS RAT[ � <br /> i . .. . -___—_. __ -. —_�i'/�M '�/__C��_-.II__-� — <br /> -- -7-��7--/y !1 -I-- —- . <br /> I'i __�oc_.d7Y_ _V�-�-- -I - — - - �� <br /> � --. .. _—.-�__ - -_I -- _— — <br /> � _ .._ _— _ — � —__ __— -_ � . <br /> I I <br /> TOTAL <br /> REMARKS: __ _ - __ - '_-.______.-'_ <br /> � <br />