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O <br />Af'�L.� �i���N?�� <br />�o r��� J CITY OF EVERETT SERVICE <br />APPi IC.�TION FOR N'qTER SERVIC[ ORDER NO, <br />� �JXED <br />� <br />i�_ DEPOSIT � /�,�� - <br />=C11 <br />:+ERVICE ev [�� ' <br />�AODpE88)__/� <br />INSTq�L % <br />DATE���_.Z�_ � 9� <br />W. O. <br />� Yli._�_�__ ____'_ __'. <br />�BLK._ LOT �GJ _q�� L.G£rd __/__ <br />.-CONTRACTOR__ <br />��----meTERED SERVICE__ ----- -- - <br />I HEREBY I P�Y FOR THE USE OF 'NATER IN ACCpRDANCE WI7H THE <br />ORD'NANCES ANL POLICIES OF 7HE WATER DEPApTMENi NOW E%ISiING <br />OR fS SA/�E MAY BE HEREAFTER CHANGED. �j <br />SIGNED: X���i/�� <br />'- MATEq1AL5 - f-�' Gy�.____' _ <br />PIPE � IN. 1 IN. � Z IN. . <br />- COPpg__ p�_ GqLy STEEL ' I ���`E AMouNr <br />COP.PpRAT10N --�_�� -- <br />CURB COCK UT -- <br />ScRVICE BOX - � I --��- <br />_PLASTIC -- C I I _ <br />METER VALVE �-- � �- <br />METER Na - -_-_-_ _- __.--._____ I ___ __.. <br />-_--__ . TYPE: �` — _ _- — <br />IdETER__=pX _-CONCRETE SMAL� LARGE -- --- ------- - _--�-� <br />'�--__-._--_. _ __ _. <br />-__ _--_'- I�.-._I-._I'-_ '__ <br />_-- -- ____ _- <br />DATE INSTALLED: C�� �� ^ 7�i� I �t ON <br />r� - � � � OFF <br />CODE � <br />���i �A��R AND EqUIPMENf RENTAL <br />I'__-_"_-_ _"___� <br />- __I _-_ / <br />__ �. <br />__ I <br />_ � <br />� <br />REMARKS: <br />SUB TOTAL <br />�— <br />' NOUqS RAT[ <br />I / �__ <br />�_-___"-.--_�"__"—_ ___ I -- - _. . <br />___"__"_-_._ ____________..—_.--.. I - <br />I <br />/ <br />T L <br />-- _.-_-'_'__---.' /_..._ _.. . <br />