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(" <br />�l <br />APP� �� J � <br />No. �` �� �J CITY OF'EVERETT SERVICE � - :; .� <br />APPLICATION FOR WATER SERVICE ORDER NO. ., ,.. ,.. <br />� Fixeo � <br />DA/T��/I�✓ h� 1B� <br />� OEPOSIT s ? ,r- n� // <br />_' % W. O. <br />NO.__. <br />� � �J / /J <br />SERVICE(BYAnOREeW�=1 ��_� .-��+��.y '//� � *> /��� ///�, �� . <br />/ /J j -`-�--�BLK....:_=LOL��._AOD_.�e_���� <br />���r;��c � <br />OWNER � ��c=-<-1 CONTRACTOR. <br />/ FLAT r ��� �-- <br />INSTAL �1ETERED SERVICE ��. . <br />I HEREBY APPLY F��F WATER IN ACCORDANCE WITH THE i'I <br />ORDINANCES AND POLICIES OF THE WATER DEPAFiTMENT NOW E%ISTING (' <br />OR AS SAME MAY BE HEflEAFTER CHANGED. sicrveo:X� <br />_ MATEHIAL3 I s II:. � 1 IN. � 2—IN. <br />. P�PE ��dS �L COPPER •- GALV. -- STEEL _ S� __I <br />CORPORATION �j[��5_ i <br />_U <br />CUR6 COCK OT � � <br />_— -�-._ <br />SERVICE BOX PLASTIC --_G 1 � i <br />METER VALVE � u � � 3 "--� — <br />-._ f — � _ <br />METER No. ��BI pjast�CTYPE: �G4y4A•-I • I_. � �_ <br />r • i <br />METER BOX CONCRET SMALL LARGE <br />� 1�.` Z I--�—I <br />'_Ce-.-�raGY�2_W�� �� T . �SQ' <br />��y'' /-b � C/a � S_..._.— <br />Kt ON <br />DATE INSTALLED: /Q �� p� f� oFF <br />CODE I LA60R AND EOUIPMENfR[NTAL <br />I <br />—, ---- - _ _ . -_-- <br />—_ —__ / <br />� <br />� <br />L <br />REMARKS: <br />_" � � / _ <br />-- �j'� r �i` <br />L _i''_ <br />� � <br />SUB TOTAL <br />HOURS qATE <br />�r_a f[Rs <br />I��� // <br />I /� 1/ _–_ <br />TOTAL <br />AMDUNT <br />J <br />� <br />J <br />J <br />