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I SERVIGE �� , ��. � � <br />Appl, --�/ nC.��Q CITY OF EVERETT ORDER NO. `� �� - <br />No. JCi=��-l-/'� qpPLICAT.ION FOR WATER SERVICE 1p��_10� <br />DATE--,C' <br />� FIXED �1 <br />��� <br />� DEPO5IT S %� / __._ <br />�pa- � �j-Ict �� sC <br />SERVIGE (BYADORCBf•)-- p (� <br />(�=� �f�. a i1 �L _1�__Lf C' S-`': _---CONTRA� <br />O W N E R_—�-�-'-- <br />' �FLAi : -�� _ <br />INSTALL_ 1 -+l METER_E/D SERVICE-----...._--- <br />I HEREBY APPLY FDR Kl1E-USE �� WA�Ep �N ACCORDANCE Wi7H 7HE ,%'NE <br />ORDINANCES AND POLICIES a` THE WATER DEPARTMENT NOW E%ISTING ` <br />OR AS SAME MAY BE HEREAF7ER CHANGED. — I� ,n. L-N <br />�� MATEPIALS <br />PIPE �Lry I' /�/ COPPER .. C�ALV... STEEL _____ <br />CORPORATIOK _____----- <br />GURB COCK OT __ _ — ---- <br />______.— -- C I <br />SERVICE 60X PLASTIC .. .__.._.._- <br />METER VALVE --�-------� -- <br />_J/ _q-_.-'__ �/ <br />__. __ <br />METER No.,/JOO�__._.____. .. TYPE: /rD�LR.._.`i <br />�tETER BOX '�'T��f.C�LC'C- SMALL LARGE <br />�---- <br />Lt/�Re __--------- <br />.�'�_��� �r,rN�Le _ L3/-'�_I-�_.__ <br />� X —a _ STeL.__.�l_i/_�— - <br />DATE INSTALLED: ///�� <br />( r1 oN <br />r i <br />� OFF <br />_� ----- <br />�qpOP ANO E�IUIPMENf PENTAI <br />GODE '�� -� <br />� I _(L'�-� _ _ _ <br />i /,�LLe�v�.vo MA6e� --- <br />--- _ ._ : �_ <br />I ��a � --- --��--/� � -_ - <br />1- --- � - <br />_ �a> a� --- -- - -- __--- _-- <br />REMIARKS: f'T�r%!G _J�RLSs/�/CC_.IJ" L6S___ <br />-- � -r_) _ . �r � �e.v Fc. Gc � <br />� <br />.}L�'< '�=....1.-�_i �__�aiC�+-l__= <br />I I I F0.10E A� <br />21N. _��� <br />S <br />SU� T�TAL <br />HOURS I RATE <br />T'JTAL <br />