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�,PPL. C (% SERVICE <br /> No. �Gj�� �=� CITY OF EVEFETT ORDER n 5 3 51 <br /> APPLICATION FOR WATER SERVICE _1'I_ �1{ <br /> i ,(�� <br /> DATE_-Jr�,Jl-ll-av,8`=-L <br /> � FIY.ED <br /> � 0 (>C. W.O. <br /> � DEPOSIT s cn = No. — <br /> SERVIGE (eY wocReee) �� � � -�r��� �" �� BLK._ L0T�7SL-ADD.1J1Q1L41L4�-r-W�- <br /> /� l r <br /> OWNE� ( rn�7 �� � 7.5 /�ds ���iN NS CONTRAGTOR �r!;�^� ----- <br /> INSTAL '�METE ED SERVICE — � , �- � <br /> 1 HEREBY APPLY FOR THE USE OF VJA7ER IN ACCORDANCE WITH THE � <br /> ORDINANCES AND POLIQES OF THE WA7ER DEPANTMENT NOW E%IS71NG elcrvEo: X -��"�`�- �=� --- <br /> OR AS SAME MAY BE MEREAFTER LHANGED. <br /> MATERIALS ji IN. 1 IN. � 2 IN. '� ARICE AMOUNT <br /> p�pE COPPER-- GALV.-• STEEL _ I I <br /> CORPORATION � - -- —� ' <br /> CURB COCK OT I I <br /> I <br /> SERVICE BOX PLASTIC -• C 1 _�_I_ _ _ -- <br /> METER VAWE __. ------- --- -- --- --- <br /> METER No. -_-- TYPE: __ I__� _ _--- ----- <br /> METER BOX GONCRE7E SMALL LARGE _____I___ — — <br /> -- - i-�-�-I _ -- <br /> _ --� - - <br /> --� -�- <br /> i <br /> - -i i�; - <br /> �, I ON <br /> DATEINSTALLED: pFp SUB TOTAL <br /> ��—z�_s�� . <br /> CODE <br /> I L�90R AND EQUIPMEN�fRENTAL � HOURS AATE <br /> � _ �Fe����'rrv --I� <br /> �_ I -- -- <br /> -- - �- --- _ <br /> � - -- - — — <br /> i -� - <br /> I- --- � — <br /> I --J---- <br /> �— TOTAL .� <br /> REMARKS: _____ - <br />