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APPL. �$ �� �� SERVICE <br />No, r� CITY OF EVERETT ORDER NO. '-!� `. ���'� �..� <br />APPUC.�TION FOR WAiER SERVICE � /' <br />� FIXEIJ � DA7¢d%''_�_19_� <br />� DEPOSIT ��� W. O. <br />No. <br />SERVICE(erwo� �_!.�/-�_–_�L �l •���s°' __BLK._ LOT�a(t5/?"�'"�„e� <br />OWNE�C�1�4I%�U _� CONTRAC70R — <br />(� <br />INSTALL ��{ METERED SERVICE " ___ <br />1 HEREBY APPLY FOR THE USE OF WATER IN ACCOFOANCE WITH THE /� <br />ORDINANCES AND POLICIES OF THE WATER DEPAFTMENT NOW E%ISTING / .� �(-- _---- <br />OR AS SAME MAY BE HEREAFTER CHANGED. 9t� Eo: %_ 7, <br />� MATEiIALS I �/� IN. 1 IN. � 2)H. � I �PRIGF. 'jjI�' �AMOTUN-T <br />PIPE COPPER -- GALV. -- STEEL I �I �--�I I II I <br />CORPORATION <br />CURB COCK <br />SERVICE BOX <br />METER VALYE <br />METER No. <br />METER BOX <br />OT <br />PLASTIG -- C I <br />'__'—" ____ _'_— i <br />TYPE� i 34 <br />CONCRETE SMALL LARGE <br />ic(. O N <br />� Sa' <br />DATE INSTALLED: L –�, ( –9 � � OFF <br />CODE I LABOR AND EQUIPM.ENt RENTAL <br />i 5. �ex <br />i -- — ��c;-� � <br />� � ��cr9� <br />-� ��� 9��=- - <br />� <br />REMARKS: <br />SUB TOTAL <br />I/OURS � RqT[ <br />m <br />TOTAL <br />