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APPL. G <br /> No. �3 '��' �� CITY OF EVERETT ORDERE NQ , , ' `J <br /> APF�LICATION FOR WATER SFRVICE a o�, <br /> � FIXED OQ DAi��ya „�y_�ge� <br /> � PEPOSIT s �jO ! W.O <br /> N o. <br /> SERVICE (BYADOREB '�_J��___� �/^��' �--�/ • BLK.__._LOT�j . <br /> OWNEF-�'L'�G� , _ _ .Z���-_i:�'�,. • CC:NTRACTOR <br /> h � — — <br /> :NSTAL � METEFEO SERVICE—___ � <br /> I NEREBY PLY FOR TiIE USE OF WATER IN ACCOFDANCE WI7N THE ` -- - — <br /> ORDASASAME MAY BEL�HEREAFTER C ANGED,DEPARTMEN7 NOW EXISTING BIGNED: _ 't � _ L`.1 <br /> —� MATEflIALS jj IN. 1 IN. I �N. _ I � PPi�'.E I AIROUNT <br /> I �� <br /> PIPE _ COPPER -- GALV.--STEEL _� -- <br /> CORPORATION � <br /> GURB COCK OT I �— <br /> SERVICE BOX PLASTIC •• C 1 I <br /> METER VALVE ( <br /> ME7ER No. _ TYPE: __— I �; _� - 1- <br /> I <br /> METER BOX CONCRETE _SMALL LARGE __ _ —� _—� <br /> I <br /> — � I— — <br /> '—__ __'_ __ I � - <br /> I `I I I <br /> I O td � <br /> DATE INSTALLED: ��.- (� � C; � I � nFF SUB TOTAI.. <br /> l V f <br /> COOE I L�pOH w4D EO� IPMENT RENTAL HOUP3 )V.Tc � <br /> i — —_�:—�X` i_,ff�e i— <br /> I — � .��4v� I I �i <br /> ' ��-+LL-�7�- -- <br /> , ,� <br /> i - --t ����-� - <br /> ._-- ---- -- - <br /> � - -/ _ -- - - � -- <br /> _ � - - - -- ---�-- - , <br /> I TOTAL I � <br /> REMARKS: <br /> —___-- — _—. � <br /> I _ � <br /> 1 <br /> � <br /> a <br /> � <br /> -- -'�- - -� � ---- - _ i <br />