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♦`� } <br /> APP Ltn ✓, .+� � <br /> No. � J��=Cj � APpLICATION FOR SERVICE ' <br /> � SERVICE ��a z442 <br /> CITY OF EVERETT WATER DEAT. �RDER <br /> �-FIXED <br /> [f� DATE� ��-�- ___�g 7 7 <br /> G DEPOSIT ,5 �i�• ----��- —1- <br /> W. O. <br /> No.__ <br /> SERVICE (BYADQqES6)�` j �T��� _ C .t <br /> �-1�]�/ V BLK. 3 <br /> OWNER � l LOT 3 aoo.�''1T.1�'►�.zc�� <br /> ������ J —CONTRACTOR_ <br /> INSTqL��I�`rL~T� <br /> —� �ETERED SERVICE__ �— <br /> I I H' BY qppLY OR THE USE OF WpTER IN ACCORDANCE WI7H THE <br /> � �R.'- NCES AND POLICIES OF THE WqTER DEPARTMEN7 NOW EXISTING <br /> �P . SAME MAY BE HEREAFTER CHANGED. <br /> SIGNED: X .. � <br /> MATERIALS ' ���— <br /> ' �i 1�� � 1 IH. ' 21N. �--I-- --� - <br /> - P�PE COPPER.- �rpice <br /> .___ GALV.--STEEL I JI AMOUNT J <br /> I CORPORATION I-��--`—i i.___ � <br /> _CURB COCK _ OT _ I � I <br /> SERVICE BOX� PLASTIC - --I I <br /> � - C ! �— <br /> METER VALVE <br /> ` METER No. _ ___--TYPE: ___ .__-_�-I —_—__—I_._- —.— _--. <br /> �F <br /> � idETER BOX CONCRETE SMALL LARGE <br /> - � _�--_I.--._ -- <br /> I — __ <br /> I _-'— _ _ <br /> i — <br /> _ I I i--- - — <br /> —I—-- <br /> i--- -j �---!- - -: <br /> � -_-_ --i - <br /> , -- -- -- --j--- - <br /> , - ;�-�� i = --I _ <br /> � JA7E INSTALLED: � I C7'ON <br /> � '��_ �';7 <br /> � OFF SU6 TOTAL <br /> � c� o�E � <br /> LqpOR .1NpEQUIPMENfRENTAL <br /> I I HOl1R5 qqT� <br /> I I <br /> I _._ _ —_'_—._.__.._—_.__ _ "--"____'_'—_—___�____--"__"________. <br /> � i � — �-,D�l/�.__�_� <br /> i ; —.�--- — -- — -------XAe_��—� T-- -- --- <br /> �-- -- <br /> i ; — —�j (----- �'� � � L_I/ _ —— <br /> � —--------- � — <br /> �--i---—------—---- --- --— --_-----'- — — <br /> i -- i — _ __ <br /> I REMARKS: TOTAL <br /> I_ <br /> .-__"_.—'_.______.__ � <br /> I <br /> II <br /> f <br /> � <br />