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�� �� <br />, <br />"FP�r!'�"�y �� -CiTY,OF EVERETT �ERVICE <br />No. L ` .7 ORDER NO. <br />APPLICATION FOR WATFR SERVICE /n/ <br />�I°IAED � DATE `�"/ Z___18—�Z <br />f <br />I�E?O51T � % 1v' �' <br />❑ �.l_ _� _ NO.— __ _ <br />SERVICE(orADDRE861_G_�v� ���� /�V� � BLK..--_LOT v ADD._-'--'�"�'���'- <br />OWNER_-1��-�L�--'�:���-/ ----CONTRACTOR — --- <br />--�� <br />INSTALL �1 `._ - "-MF_TERED SER�_V/ICd_- - . .--- �---- r -� ------- <br />\ <br />1 FiEREBY APF'�Y FOR T [-'O�WA7ER IN ACCORDANCE WIfH 7HE <br />OROINANCES AND POLICIES OF THE WA7ER OEPA�7TMEN7 NOW EXISTING <br />OR AS SAME S1AY BE HF.PEAFTER CHANGED. sIGHEo: X._ _-__ _------- -- <br />MATERIALS �°H IN. � 1 IN. I 2 IN. I I � I PftICE � AMOUNT <br />PIPE <br />COf PORATION <br />CURB COCK OT <br />SERVICE BOX <br />GALV. -- STEEL <br />PLASTIC -- C I <br />METER VAWE ___ _ _ ._ __I _ <br />METER No. �a%/�Cf'__ TYPE:G°/}'/��DA/ _I. `'"._I_ <br />�.1E=EF 90X CONGRETE SMALL' LAP.'vE I_ <br />�—__— .�./-_ _ -_ — <br />��%�/7—sS�YlY�__---__ ___-_'— <br />_�/I/ F/ ��. �n C vAl,_if{GTr iZ /3 a <br />� ON <br />OATE INSTALLED: �l_ /Z` � � I _ � OFF <br />rl <br />COOE I LADOR ANO EOUIPMEN( NENTAL <br />— ----a <br />- - --���� S �-� -� <br />, <br />' ---� <br />REMARKS: <br />1 � <br />i <br />SUB TOTAL <br />HOLIRS HATE <br />1'<I�LX ----I -� ---- <br />��.tf4Cs_��i�_�' `� - -- <br />21 / -- - -� `� — --- <br />_���--.— I '-!— <br />3 �E_� ��_ <br />- - � --- - <br />TOTAL <br />