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NOPL��'� 1 i s' �� C�TY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />56RVICE . ' � <br />ORDER NO. �.. ... ' <br />FIXED D:1TE /' � -�__19r�� <br />� �V <br />❑DFPO5IT s �!� ry O._ __ <br />���-__ - � . _-_____ <br />�/7Dc�i —zJ'�A?, S //// <br />SERVICE car/�ooaeae)"���"�?�� �' �'= �--`-��--BLK.. _--_LOT�A�:/�:-��/3'/ <br />y `�'� � G L CL+G!( ' _- <br />OWNE�y�aJ 1-� ������ CONTRACYOR____ -_ <br />� � FLAS ���-�, <br />INSTAL �� ��_-�ME7ERED SERVICE�--- ----- -i— - <br />/. i� �. <br />I HEREBY APPLY FOR 7HE USE OF WATER IN ACCOflDANCF K"TH THE ;��/�.9� <br />ORDINANCES AND POLIQES OF THE WATER DEPARTMENT NOW F.XIS7ING L'��c:�c. e b_L <br />OR AS SAME M.1Y BE HFREAFTER CHANGED. sicHeo: X ----------- <br />MATCRIALS �/i IY. � 1 IN. I 2 IN. I �' I pplC[ AMOUNT <br />PIPE COPPER -- GALV. -- STEEL ���_ _ <br />— _ _- — - __ __. . - . . . .. _' __ — -__II -----I I '. <br />CORPORATION __ _ <br />CURB COCK OT I I ___ <br />- _ _— —I�. ___— _ <br />SERVICE 60X PLASTIC -- C I <br />--_ ' - - <br />METER VALVE �_ <br />— . . _ ___ . _-_.— .-. - _ _ . _ _ ._ -__ �_ ____- <br />METER No. � TYPE:" ..__.) `: �; �_ ' � <br />METER BCa CONCRETE SMALL �ARGE _I_ I- --- — <br />- -- ---- - --- � -I i � <br />- <br />_ - ---_ --_=_ ,�---; _;-_� _-- -�- <br />DPTEINSTALLEU: <br />GOOE � <br />I <br />I n CN <br />� OFF <br />LABOP ANDEOGIPMENfREN?AL <br />- - �'��t <br />--------� -- <br />1.. __ __ _--- <br />SU6 TOTAL <br />HOURS � RAT[ <br />I � _ '�'__ TOTP L <br />REMARKS: <br />i <br />