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APPL. n/�jQ� CITY OF EVERETT BERVICE <br /> No. OS(,(i � ORDER <br /> APPUCATION FOR WAT[R SeRVICE o <br /> � FIXED� DATE___N�_��'�� <br /> . � DtF0317 s � W.O. <br /> No.___ <br /> sERVICE ur�conuq��. _(�/���� � _BLK.____.LOT.(�__qDq��I <br /> OWNER_\JLG._UL- OJ�n_�___ CONTRACTOR�n/_'y�/'7�,J1 �_�j� �'�J� <br /> � �I LAT <br /> INSTAL D SERVICE_ . ._ <br /> I MEREBY APPLY FOR THE USE OF WATER IN ACCOFG�NCE WITH THE � <br /> ORDINIHCES AND POLIfIES OF TME WATER OEPARTMFNT NOW EI(ISTING n /�- <br /> OR AS SAME MAY BE NERGFTEfl CMANGED. nGnEo: X��(�7�q. .1 Q�l�p(y,'l _ _ _ <br /> NATERIAl6 I � IN. � IN. � 3 :N. L �P� �MODNT <br /> �IPE P��1�1��_. _ - __ _____ — _� ___ _—_I I <br /> .. _. <br /> - _ ___' __ <br /> CORrORATION 1 '_._'_"__ __ 1 ----- ' -' � - <br /> —�Q- ___. J— —— --J-- <br /> CURB COCK -9T- � -- I I <br /> SERV�CE BOX _ PUSTIC -- G I I I <br /> . _ _ ._. ____—_ I � <br /> METER VALVE �--— � ! � <br /> ___-_ - -. - . .- <br /> . . ___-.I`__I__—' _— . _...-__ ___ __ <br /> METER No. 7ypg: I , I <br /> METER PDX �7L7RC1RZ'� (�r� MAL �� LARGE ^ � _ I _' <br /> � v�lJ\ <br /> �.flC.��`�D���n_b3'7,5�`�I3�� � ,Pi1�f� —I �—�___ -- -- <br /> /N��iQ23— -- — — — — — -- a'� — � � --�—_ <br /> - - - ---�' I — — <br /> J L� _. ___. . ��_-I � <br /> � _ <br /> � I___ I <br /> �SQI�I "T..Q�CI�__'_C1-���j� "�75_�I.- I--'-- - _I--- -- �-- -- <br /> �� i � � � ; ! <br /> DATE INSTALLED: ��Z��I�J I � OFF `4/ • �ry`� SUB TOTAL <br /> CODE � L�BOp AND LQU�PMF.Nf RENTAL I NOURS PAiC <br /> � ------_ _ — — —D-KP�u..� —�-5--- — -- <br /> — ----- —C:�_��►�►�5��+1,-i 5 _-- <br /> ; — - -- <br /> ; — -- __— 3505 �—5— --- �-- <br /> Ca�,�4/oi - _ - - -- z139-- -- �-�- --- � — <br /> ' -- --- - -- � <br /> ------- -- -- <br /> �----- -- <br /> -- ------ <br /> _ -- --- - ---�----- -- - - — <br /> TOTAL <br /> REMARKS: <br />