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��� <br />m�x <br />C'. H <br />9H� <br />rxy <br />yzH <br />K n <br />H� <br />��+9H� <br />V7 H <br />H tg" <br />�OL�] <br />H t7 <br />OH <br />��g <br />�]Y (q] <br />9 H [�] <br />y <br />HH <br />� <br />gd� <br />��� <br />HO� <br />�� <br />NJPL. ��I��( <br />CITY UF EVERETT SERVICE <br />APPLICATION FOR WATER SERVICE ORDER rJ° 5920 <br />� FIXED DATE_-_�_I118� <br />� DEPO5IT� �:j nUJTIt�C IL"�I�j'��1 W.O. <br />__ No._ __ <br />SERVICE IOY AODqE8/8�)_��D_�'� __/ ..[t�(�(�_BLK.. __LOT-_A�O._ <br />OWNER L �� JL �G_(��w-L� �-[�,G CONTRACTOR__ _ ___ <br />�� FLAT <br />INSTALL_.�_ - TERED ERVICE_ _______ _ <br />1 HEREBY APPLY �OR THE USE OF WATER IN ACCOf70ANCE WITH THE <br />OPDINANCES A"",� POLIQES OF THE WATER DEPARTMENT NOW E%ISTING / / ����7 <br />ON AS SAME MAY BE HEREAFTER CHANGEO. sl�r+eo: X �'f/ .._ _ �!/_..`-"/a. <br />-_ - _- / - __.- _-_ <br />MATERIALS I� IN. 1 IN. � 2 IN. I I PpICE il AMOUNT <br />L_ <br />�' l,�l��l� - - ' , <br />PIPE � I <br />CORPOftAT10N � <br />— —_- --_ I_ _-"'__I-___I_.' _'__ <br />CURB GOCK OT _ I I I <br />--_ <br />I _ -_ <br />SERVICE BOX PLASTIC -- C I <br />_--_ _.— _-_I_ <br />___ _ <br />METER VALVE <br />. _. . _ _.._. .- _ _ '- _ __ <br />.. ..'_ ". ___ __ _— '_-' <br />METER NO. �j� TYPE�`'1S1��I _(___ , <br />� -_ . ._— _ -_-, _ ____ '- <br />MGTER BO% -6611CRLTir�.�'�`�MALL ARG__ _ I I __ <br />�i..�,.� '-t-.�n G...n., O i v � � .. �.11.��_�o �_ I __I 'I_ <br />� Z��b �--1-! <br />--�--- <br />M�F.Q s :iTf�----- -- ---�-�- <br />-__ <br />-1� �G�'� - -- -- _. _ _---�-�- _-�_. <br />, ! i, I <br />�'_l1- L6 •B� I �J °" .�� h�� U� <br />DATEINSTALLED: OFF <br />LODE � L�OOR AND EOUIPMF.Nf HENiAL <br />SUB TOTAL <br />HOURS � RATE <br />�� �Jil�-.. l ll_ �- _ -. <br />-- ----- --`3'�`�OJ�---- - �-�-- - -- <br />Z13q— ---�-5 _ — <br />__ — — --- '— -- <br />REMARKS: ' ' [ �� <br />.i �'p�'�( f`_��:._'_Il�_} �-�j_�_- -'J� -=��_:Il.i_-_.'-____. <br />TOTAL <br />