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'�'PF'���)��-d�✓ �O CITY ON EVERETT SERVICE '1 [_ n <br />No. ,� �` ORDER NO. � J� 4 <br />AFPLICATION FOR `NATER SERVICE /f �+ <br />� DATg^''�O ��L-19� <br />� FIXED �� <br />W. O. <br />� DEPOSIT s n. S�� No. --- — <br />1 �/ �� -��/ /�/ �/ i� ��,,/% <br />,�`� _�..,1-*-c/-f C', Z i='.._''-"y=�-BLK.. ^� � LOT 1-�AO�v�'�`7-. <br />SERVICE lBY AonREea1 -�- ,� � <br />/J � ^ �. <br />/ � .� ��� � � /�C-'7� �-�_CONTRACTOR — <br />OWNER� =4= ." <br />5,� / LqT- � <br />INSTALL�S�-METERED SERVICE___ <br />I HEREBY APPLY FOR THE USE OF WATEN IN ACCOPDANCE WIiH THE �L����u�� ���nT�-- <br />ORDINANCES ANO POLICIES OF TNE WATER DEPARTMENT NOW E%ISTING BIGNEO:X �� � <br />OR AS SAME M�Y BE HEREAFTEN CHANGED. <br />M/�TERIFL6 �i IN. 1 IN. I 2 IN. � � I PHICE I.MOUHT <br />PIPE �ri�}_ COPPER•-GALV.--STEEL ����I-___,__��� <br />CURB COCK OT <br />SERVICE BOX PLA5T1 _-- C 1 <br />METER VALVE ___ <br />METER No. TYPE: __I � <br />METER BOX CONCRETE_. _ SMALL LARGE <br />/� �j �, 1 o <br />////n.✓//V.✓ �4_.�.�/�l:fi_-- ..- -_ <br />` � dG- 7- �'�------- - <br />G � ON <br />DATE INSTALLEO: % ��.. �%C � OFF <br />/ '� U <br />COOE � L�'dOR AND EOUIPMENf H[NTAL <br />I_ - .- _ _— . . . __. _ _ -- —_ <br />� <br />REMARKS: <br />I I I I I <br />SUB TOTAL <br />HOUAS PATE <br />-J=�Pi%- -��`�- - <br />l <br />� �°.,�,� ��-= -- <br />� 3�-i3_•. ---- <br />�. z,/ ' '' - -- <br />'�-3— <br />