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APPL. �' SS� �R CITY OF EVERETT <br />N o. <br />APPLICATION FOH WATER S�RV�CE <br />� FIXED <br />G <br />� DEPOSIT s � Q <br />SERV!CE <br />ORDER NO. ' - . � <br />DATE _19_ <br />1Y. O. <br />1 � <br />�i'/' � / '�� <br />SERVICE (BV AODRE881 �� `�� �-�_ -___ � —BLK..�__-LOT �O _. V"�""� <br />/J/ �J� i <br />OWNERy7/=_�S� � � � _--CONTRACTOR_ <br />'7�� /i <br />INSTALLL� METERED SERV CE—_.__ _ .__ -_ ._ <br />I HEflEBY APPIY FOR TI�E lISE OF WATER IN ACCORDANCE WRH THE <br />ORDINANCES ANO POLICiES OF THE WATER DEPAqTMENT YOW E7(ISTING <br />OR AS SAME MAY BE HEREAFTER CHANGCD. sianeo:X <br />MATlRIALS I�r�i IN.I 1 IN_I 21N. <br />IPE '�fC ,COPPER �- GALV. -- STEEL_ _ 31 I ,I_ _ _ <br />I— � <br />CORPORATION �SG� _ � I <br />_t_—'__ <br />CURB GOCK OT �� � <br />SERVICEBOX __PLASTIC.--CI___ � I <br />METER VALVE <br />METER No. ___—___._-_ __TVPE: ..—.' _' I_��_ — �— <br />METER BOX CONCRETE SMALL IARGE <br />—. _ ___-- _....-_'_.___---_. _ <br />— � �s o � 3 ---I _r_--�— <br />� l O S� 1��--�� y W' r���--�— <br />�-l"Sor�;— �� �.,.!„Llc G.il�;�i"r/' </.Kn-ti.�� 1 I i <br />r �d�1M� <br />'� I I Y� CN <br />DATE INSTALLEU: _� �/s � Fv <br />OFF <br />COOE � L��OR AND EOUIPMENT RLNTAL <br />---- - -- -- —�,>e�C i� <br />— ,�taore -- �. <br />- �-- <br />— - -���ll / � <br />--- -- �i 35n �_ , <br />� � G�8oz � <br />- —I --- - -- --- � �L'� 5 - <br />� i <br />REMARKS: <br />tl <br />� <br />PRICE <br />SUB TOTAL <br />HOURS � HATC <br />TOTAL <br />