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�PP�. a��a CITY OF EVERETT SERVICE N° 6650 <br /> No. ORDER <br /> APPLICATION FOR WATER SERVICE Q Q/��� <br /> � FIXED lV�s �/ � PL cS� DATE_�U _19 '"�- <br /> � DEPOSIT �� � W Q � <br /> No.___ <br /> ��� � --- - -- <br /> SERVICE (!Y ADOREYi)�� BLK._ LOT__�__qDp.����J1� <br /> OWNER-.�.LtsC\^���_C�� GONTRACTOR <br /> ���FLAT �J � -__'-'____- <br /> INSTAL RED SERVICE�G _/ ?.��C7 <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> OROINANCES AND POLICIES OF THE WA7ER DEPARTMENT NOW E%ISTING Jo�7� � <br /> ON AS SAME MAY BE HEREAF7ER CMANGED. sicr�eo: X �_.L.�(_/-__ <br /> � � <br /> M�TERIALS 5�' IN, i IN. � 2 IN. P� AMOUNT <br /> F'�PE COPPER -- GALV.--STEEL I <br /> CORPORATION —j - <br /> -- __ — —_I—I_.-_ <br /> CURB COCK OT � i i � <br /> — —_� �._ <br /> — -__.'_ <br /> SERVICE BOX PLASTIC •• C I � <br /> _ — -__ .- __--__.. <br /> METER VALVE I <br /> IAETER No. ___-_ _. _TYPE____ ___ _I-_ . .--' _'�_— -"I ' I ___ - _ '_ __._ <br /> _ '_ _'_ .._._._ _ _. <br /> __ _. ._ . -- _'— �__�_-I - '__ '_ -- - -_._ __ <br /> METER BOX CONCRETE SMALL LARGE '� <br /> -__-_._I ___-._.'__-.�. _- __ _..____- .__ <br /> _ --_— _'I.-_—�_-I--�—_'.___ . __._____ <br /> ____- _— �-��13L1.2L9�.11i� EUI_QQ�O 5 :f:l::k <br /> --- ' � / i <br /> - -- ' •- <br /> - -=--—:- .-.. ---- -- <br /> — --- - - --- I �OQ0�3B06 — <br /> - ---�-�-£L0�-�_45? :50-- _ _ <br /> - -- - --- - ;--P��l'i-I -t10-- <br /> �l - —��- � lfECH ' f9 .DO <br /> OATE INSTALLED: �.0.�N E SRCH S4.SO <br /> �-Si'�fCJ I ❑ OFF DRUWY S�k9O:8LSAL <br /> CO�E I LABOF ANDEOUIPMENfRENTAL RS RATE <br /> I �' <br /> �I �'71��._ bl � • <br /> - -- - --.._- ------ ---- --END--��- .OB- <br /> , ----- ----1171-'�_�4 LRO_- --- -- <br /> __ NOOOObb50 <br /> --------- - - - ---- ---- <br /> WflTEF___�6 .tl0 _ - -- -- <br /> ----- ---------- -- -GHECti� E#60 :00-- <br /> -- - --------------- , <br /> - -- - - -- <br /> ----- <br /> '-------. _.__ _ _ _ - - -- --- I <br /> — � - - -- --�__-_- - -- ------ <br /> TOTAL <br /> REMARKS: � '� � <br /> ----:�--G_ol-L-�'��'�-��5-�- --- - ---- - --- __-------- - - ---- � <br />