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APPL. '� �(� <br /> No. 1�p) s� C'TY OF EVERETT SERVICE <br /> ORDER nlp 57�358 <br /> - ' APPLICA'i ION FOR MAiER SERVICE �� / <br /> �{FIXE O O ATE�(u,(�_{��_O(J_�9� <br /> se � ��'� <br /> � DEPOSIT � � _ W.O. <br /> No.__._________ <br /> / 1 r �Y �] .., 1 <br /> SERYICE teY �ooRu/� s)—_—c�l3 J. �/� . ._L��.j��Yl.l'�� - �5�.—BLK._—_LOT__J—_AD�I��/I/JU,/�/'�. ._ <br /> /+ J� y�/� N�/Lr �'9E� <br /> OWNER_.--1.V ___ UJ�Jy_IL.���[-C't..___.__.____—"___CONTRACTOR_ _ __'._.__ <br /> FL� <br /> INSTALL.3�MefEREDSERVICE____ . _ __ ._ _.__ ______ _ _ __ <br /> I HEHEBY APPLY fOR THE USE OF W�TER IN ACCORDANCE WITH 7HE <br /> OROINANCES AhD POLIUES OF THE N'ATER DEPANTHENT NOW [RISTING <br /> OR AS S�M: MAY BE MERE�FTEN CNANGEU. oicHto: X <br /> MATERIAL6 �' IN. 1 �N. � 3 IN. I I PRICE � - ���MOUNT <br /> PIPE tr...7/Il% lOM�t�Yy�"�iiC— "' � _—. . � <br /> —__—_'_—'_ _. ___—_—. ___ 'I �_�__ —_ <br /> CORPORATION � I <br /> CURB COCK �iJ$_ , I I <br /> 5ERVICE BOR _ �P STIC� �r _ I I <br /> _— — _ ___ _ ____— _ <br /> METER VALVE ' <br /> _—____ __._ _ _... .—. __ _.__— _--____ . _ . . __ .__. __— <br /> METER No. TYPE: � �: -r� <br /> _ __"—_'--'�_ __--_. __.. _' . _ . __" ' —__ _._ — <br /> METER BO% CONCRET� _ SMALL LARGE I <br /> /!-/3073- - - _ �-�---I - -- -- - - <br /> �7�� � - - ---- -- <br /> ��1i9�_ S/_�y��'�v�4E _ I _;_ <br /> /, .G3-J�-�._3�r''--1-�9i? ,--- � <br /> ���10_��Li�-/'_���'/_�f/l GL'/P��- - � - <br /> �<7,�v �' •- � —I - - - <br /> ['�f/P��i �01: ��i�'1/�Li –�J�L�� � � � <br /> , / v� ON /� <br /> DAiE INSTALLEO: ,[J _/_ /J�/ �OFF /\� SUB TOTAL <br /> _ / �/ _ � <br /> COOE � LABOR AN�EOUIPM[NfRENT�L NOUR9 PATE <br /> I — - �z� - -- -I�-• -- <br /> -- -- - <br /> - _ _ y�'. �,.�-�� -- <br /> --- __ .����9 ---'- -��-- --- - -- <br /> �d�3-- ---��'�=�--�-� — - — <br /> --' - -- -�_�3-0.� _I 8.- -- - - <br /> --�---- -- - - _ - - <br /> _ -- - - ---- -- <br /> _ , -- <br /> TOTAL <br /> REMARKS: <br />