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NoP�• o�(�a c� � CITY OF EVERETT ORDERE NO. . J�9� <br /> APPLICNT�ON rOR WATER SERVICE <br /> DATE �P� <br /> � FI%ED <br /> '� DEr091T s ��/v CU W.O. <br /> No. <br /> �sv_\ <br /> nq �� �� ���/V� <br /> SERVICEcw�ooeu�)—,In �7 G ����e' /TY1- BLK._ �� �LOT_[�U_AGD. .��vYO�---- <br /> / <br /> OWNE� G -S �/ �w CONTRACTOR_ — <br /> �i ur <br /> I�ISTALL�'_. ED SERVICG — <br /> 1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDASAS ME MRY BE�IHERE FiERHCHAHGEDCEPARTMENT NOW EXISTING s�cNco: % - - - - - <br /> MATERI�LB � �N. 1 iH• I 1 �N• I I RICE I1M T <br /> p�pg COPPER--GALV.•-STEEL _ .�S/ --I� . <br /> � I <br /> CORPORATION L D L ' <br /> GURB COCK OT _ I —�— — <br /> 3ERVICE BOX PLAS7IC •• C 1 I — • <br /> METER VALVE ___ - -- <br /> METER No. -- TYPE: I !� _____ _—-- --- <br /> METER BO% CONCRETE SMALL LARGE ___i__ <br /> —�_II _ _ <br /> � _ � _g vn+_2.C_._�P- -.— — — _ <br /> wt a�� II <br /> __ I � � <br /> �� DATE INSTALLED: <��// ��J�' I � OFF SUB TOTAL <br /> �� � t7�'p! HOUR! MTE <br /> COD[ � LABOR ANO EOUIPMEH�fRENTAL I <br /> -� -- .2 ri 3 �II�- <br /> i -- <br /> � G��� _01—_ �a =�---�- — <br /> -- ----- - -�'2� � `�--��- <br /> _-� i <br /> _�_ -- -�-- <br /> �� --_ - - <br /> -- TOTAL <br /> REMARK3: ____- -- — <br />