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' <br /> SERVICE � �- � � <br /> qppL. �5�6� CITY OF EVERETT ORC`ER NO. �� � ' <br /> `�°• APPUCATION FOR WATER SERVICE �y'� ++ G���/ <br /> DAT�-F -�--19JT <br /> � FIXED � W.O. __ ____- <br /> �� Na.. <br /> � DEPOSIT s __ A ) „ �/ j(�'� <br /> O b —L- O(.�V GYc��—BLK.._—IATP SG�ADD��'{'---u4-a'-'iJ_ <br /> SERVICE tov �oo ee7 —� __ . . <br /> _f� _CON7RACTOR <br /> OWNER�- �;�, f -- ____ <br /> INSTALL�L--M. ��E ERED SERVICE--- -- - ---- � � <br /> I HERE9Y APPLY FOR THE USE OF WA1ER IN ACCOpDANCE WITH 7HE �/ <br /> OFDINANCES AND FOLICIES OF 7HE WATER DEPARTMENT NOW E%ISTING sierveo: x�.J--- --- �-- <br /> OP AS SAME MAY OE HEREAFYER CHANGED Pp��E �MouNr <br /> MATERIALS �/i IN.I 1 IN. � 2 IN I I <br /> _PIPE COPPER-- GALV.--STEEL i=l—=lil--� --- <br /> CORPORAT�ON _ -- � <br /> ___._ - 'I � I__ — _ <br /> _t <br /> CURB COCK OT - --I I ___ <br /> i _ <br /> SERVICE �OX PLASTIC _ C l _ — '� ' <br /> METER VALVE __ ___._I_-- I---__i.____ -- --_ _ -.-.. .. <br /> -- �M <br /> TVPE_ . —.'I_—I . <br /> METER No. ___ .____.__-..-_— <br /> CONCRE7E SMALL LARGE __� ._I---� -- —�' <br /> METER B�_ ------- — I I __ <br /> i� <br /> I <br /> -- _—_--- I � _- '-_ - . <br /> _�-I i-- <br /> — -- I _I_ -- <br /> _�------ — I II �— . <br /> -�i __-'— .. <br /> I �N SUB TOTAL _ <br /> � � a �Q � OFF _ � <br /> pq7E IN57ALLE�: � �1 i HOURS AaTE <br /> ��- LA�OR ANDEQUIPMENf �EHTAL // y�" <br /> CODE i_�__ S�._ICN I � �I� __ _ <br /> �_ f.. <br /> --..._ -- - L CvcH+ � 1 a - <br /> —'--------- � _ <br /> - --- �Zr�3 i�`' --- <br /> _ - �y���° � --- __ =iI - -- <br /> - ________--- - <br /> ---�-------- _ ___�_- __ - <br /> -�------ --- -- - , <br /> TOTAL <br /> REMARKS: ___._..___ -_---._.____-- .--- <br /> __ .. <br /> __- .. <br />