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� <br />'� <br /> f <br /> ��.P���.,I��� APPUCA710N FOR SERVICE SERVICE N� ZQ67 <br /> N�� _/ ORDER <br /> �'� CITY OF EVERETT WATER DEPT. / <br /> DATE...�-L�-19�� <br /> i � FIXED <br /> W.O. <br /> � � bEPOSIT s L�.S UU No.___-__------- <br /> i SERVICE Isv�DDPcf/Jt).-( L— �'�1!/-'�,y/'S/'��—`��;�n�"�'�BLK._—nLOl'��DD.Y"��V�-�UP_D <br /> iOWNER�//V/�/� S��L��. CONTRACT�'iR�ttf1��U._/�-�����X1-/�- -- <br /> ' �NSTAU � METERED SERVICE—_- - � -� — <br /> I �� I HENEBY APPLY FOR THE USE OF WATER IN ACCORD�NCE WITH THE `� /— <br /> � ORDINANLES AND POLICIES OF THE WATEN DEP�RTMENT NOW EXISTING slcrveo: _]-� ��-�f ---- <br /> r � OR AS 511ME MAY BE HEREAFiER CHANGED. '� <br />� I MATERIAL6 I yi IN.i. t`IN. � 11N. �, � PH� �MOUNT <br /> I I, P;pt _ COPPE�_GALV.-STEEL _`y`_� _ I <br /> � CORPORATION I � . — <br /> � CURB COCK OT _ _I I - <br /> LSERVICE BOX PLASTIC -_C I _ I _ I _. �� <br /> I MSTER VALVE __ � ___�I— --- - ---- <br /> �METER No. �'71l_I�'�_ '_ TVPE:�Ja/� Ci�_ .I � ___I�- — -_-i -- ___ _ -_ <br /> i METER BOX CONCRETE _ .SMALL LARGE _�_�. _ _ _ . <br />' �-/�el'�L'k- --5�.�9�c,!�__—------- —-�� I -- i <br />' I-�0°C��/'��-1L------- -�-1-� --�-- - <br /> L_—_�'L��G'.'1�=C��T �cl -- — -J—�—{ � � — I <br /> --�—�— — <br />, �-_.��'r',�3i.�L �°_ .:� ���/�1/_�'-- i--/I � - <br /> I -- -- --- --1� I-I� I �I <br /> I <br /> i I� o" � <br /> , DATE INSTALLED: OFF �, - SUB TOTAL �I <br /> � /0:1/;�' �J� f ,��r <br /> � COOE I LABOH AND EOUIPMENT H[NTAL HOURS fl�TE <br /> r—I .�r�_ ----- - - ----�-�L'-_ --- <br /> I �'— - - - <br /> I__� i/_�:c�1��� - -�/_.�= - <br /> I I�� o > �� __-�--� ��� — - - - <br /> i <br /> I ,��5=,����/-�� —�--�' <br /> � — - - <br /> � —�---- --- <br /> _D_� — - �� - -- -- -- <br />, � , L�.��` / -- - - - <br /> -- - — - - -- �1<:T=2r- - —� - <br />; i--- y�,,, /� �L � ! <br /> I I _ -- - �- - ' - -- <br /> I TOT � <br /> I REMARKS: ..�.. .:_L- J '/ � ._."S_. .�� _/-I _i_. iY' /i /� "( /, (/{I(/..ir:-_. <br /> I--. _. "-` '_ ` <br /> I <br />