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No��/"d J'� v � CITI" QF �EVERETT SERVICE I <br /> � APPLICATIGV FGfi WATEl SFRVICE �RDER NO. ��. . � <br /> � FIXED � DAT6i�^=-' '�d _IP� <br /> � DSP0817 s Q O_ W. O. <br /> No. <br /> OWN�� 7 J �SERVICE ooq[/ >_�1_��/� � BLK._-__LOT_3 _��/��� <br /> -'/ / ` �^ i_ �� <br /> �,-�7�.^ - ( ty.fJ CL�-CONTRACTOR-_- __CJ-Gv� z <br /> INSTAL� 3�,l,.(// FLAT - -- ' <br /> METERED SERVICE_ -__ _ <br /> I HEREBY APPLY FOR THF USE OF 'NAfER IN ACCORDANCE WITH THE �/ ��//' '� � �9 � <br /> ORDINANCES ANU POUCIES OF THE WATER UEP�RTMENT N01K E%ISiING / �� /v,���� � <br /> OR AS SAME MAY BE HEP.EAF7ER CHANGEG. e�cHeo: % � �ia�L y1 . s--�__ <br /> MATER��L6 � ���I � �"�• I � �N' I I PA�CE AMOUNT <br /> �'�PE COPPER-•GALV.-STEEL �_� _��_ - <br /> CORPORATION I�� <br /> CURB CUCK OT <br /> SERVICE BOX PLASTIC •- C I i <br /> METER VALVE <br /> ----___---...__- _'____ — _.�---_-_— -. - <br /> METER No. _____�_.._ _TYPE: I �b __ ___ — <br /> METER BOX CONCRETE SMALL LARGE � <br /> - --�-� � - ;-- <br /> ----�---�---�- - - <br /> - __- �--'_� - _ -- -- _ <br /> - -- - - �-����- - _ <br /> � � � �� � <br /> ON <br /> OATE INSTALLED: 7 - .� ,' -� � I �`OFF �'.��'• .F- SUB TOTAL <br /> ,� ;s�/� '��r <br /> COD6 � L�BOq �NO tOUIPMENf RI VTAL � HOlIRS R�TE <br /> I � YT/l� ' I f <br /> -_--�(___ _ <br /> —_ ---'--- _ __ --. _ �''�r d1d�1-�•_ � � '__ - __ <br /> I ---�f--�(�O�7_'-�_ - - -- -.6' � � I-� - --- - — <br /> I <br /> - I ---- ------ I <br /> —i ---- -- _ _ . _ -- - - — ----- ---� --- — <br /> TOTAL � <br /> REMARKS: r+ ��i.�i� � V/rynr � � � � u <br /> --- - - ---�_" - =-1 <br />