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, �-�--� --s <br /> ,;;,, <br /> e'" <br /> 1 �� <br /> , <br /> F�' <br /> � <br /> �Ct <br /> 4' <br /> �: <br /> �v <br /> e� <br /> �� <br /> � <br /> C: <br /> NOPL 2�17/�� CITY OF EVERETT y`""" No J ] ] � +:+ <br /> APPLICATION FOR WATER SERVICE ORDER � <br /> �F7XE:❑ 7 p },�P DATE-.�-,�_/_y.J 19_._ . <br /> � orr��sir .s��� , 1� f �S��1�V__`'�--��CF��-� w. o. <br /> No. <br /> SERVICE lav �oonr e���/!/ .��^ / BLK.___LOT_�ADD���/l�tj,'i <br /> OWNER L__��2�IpJ�_���� / CON7RACTOR ____ <br /> � FL <br /> / <br /> IN!i'ALLJL, " ERED Ri/ICE_.—-_ — ___ _--____ ___.__-__ <br /> I I�EREBY APP!1' FOR THE USE OF WATER IN ACCOfiDANCE WITM THE I / `- <br /> ORDINANCES �kJ POLICIES OF THE WATER DEPARTMENT NOW E%ISTING y <br /> OR AS SAME M��Y �E MEREAFTER CNANGED. eicHeo: "L��.� i1'� <br /> --- �- --- r - > ,� <br /> — MATERIAL6 5i IN. 1 IN. i 2 N• I PRICE � rAMC'.. '�u^ <br /> PIPE __ COPPER-- GALV.-- STEEL �� I I ;q <br /> CORPORATION ______ ���--_ �—I � �� _ ' ;. <br /> _ _ _ .ry <br /> CUNB COCK OT � I a� <br /> ScRVICE BOX PLASTIC -- C I I <br /> METER VALVE � <br /> / � p ____I. _ __ ___. ___ .. <br /> METER No. I1Lv5�_/_�__ .TYPE: ���0l _—`6_ ,}' I�—_--I_- I <br /> �� <br /> METER BOX CONCRETE SMALL LARGE <br /> I i _ . . .. __ _'__ � I <br /> _'—__'_� �— ��-- _ . .� <br /> � I � <br /> — — _-' --!'—�-- <br /> � I <br /> _ ___I_— - . I .. <br /> _ '_ -- —_____- ___ — _—_ I_ �� — _ -- 1 <br /> I I I �— — - — + <br /> I �ON _ <br /> nA7E INSTALLED: f � ^ �j- C 3 OFF SUB TOTAL <br /> l <br /> CODE � LABOR AND EOUIPMENfHENiAL ----� NOURS I pATE <br /> --���.2�� _ _ � ' <br /> I I <br /> — -- --- —_._ _ I <br /> - - _NO-AGTtOT�7—�--- ---- — <br /> � — - ---Wf(I t�on servic� — ---- -- -� <br /> --- --applitationswiti�rt a --' - <br /> ------- ----- --- BackfloYt_P[evtniinnL:i�� — - . — <br /> i � -- <br /> TOTAL <br /> REN,ARKS: ��y"�p��d _ <br /> I -- f`� v `� —__—._._—__-- <br /> �.. - � -. . ._ r i1Y�' ���dy"�,'�t�1y� F .�a <br />(Y y.. ,A.., � * . �'i. .�'�� r r { {t •^ �Gn. . . . . � � �.+�it rn.e-�..r . yd� ��11�. � ``�4 .:J�W' .'7r�YX <br /> Sh � .s'+k-.. . �� �, .,. .H� r�r,� ir u ' � - " � " ,� � . `�'k`�'MiSf ��i1�k11ar ..�. .., <br /> t3F I�M -+6� A � , x''r�'� -, Wur n " _. eca. <br /> .. <br />.�..d, '�k+��Y"' nw . ..; +' v A � � �'� �' � r w l+r a�g � ..nvw:� .� _. _ 1 '�'2�F1 � �tt : t��fdMa' <br /> _ , <br /> t tlr , �7 <br /> . <br /> ��� �t�'.� .....,...�s�rv �5. .w +nw .�t�—.3.w.r„M�'.,... ��......aur+,..�.... ,. , _.. ._._•'�_. . . �nea .m�1'yq., ."�'v. �me51i:W..���,,._ , J'F� , <br />