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APPI_. �'—) �� <br />No. L (���{iO CITY OF EVERETT SERVICE N� 663/8� �� <br />APPLICATION FOR WATER SERVICE ORDER <br />� FIXED DATE__��_L� IB_1S1 <br />� DLF+OSIT s _���� <br />W. O. <br />No._ _ <br />SERVIGE �er �ooqEee> ��J�__��� _ %/___BLK.. LOT _�qDD ��--k,�_�C�J <br />OWNER � � i ^ 7 <br />INSTAL�`'"f_� ---CON7RACTOR__ _ _ <br />FLAT —7 <br />�RED SERVICE�/_��9,� __ <br />i HEFEBY APPLtl FOR TH: USE OF WATER IN ACCORDANCE WITH THE �—�— <br />ORDINANCES ANU POLICIES OF THE W•TER DEPAR7MENT NOW EXISTING � <br />OR AS SAME MAY BE HEREAFTEH CMI..SEO. <br />81GNED' X � <br />MATEHIALS ii IN. I IN. 2 IN. i <br />PFICE I AMOUNT <br />P�PE C9PPER •. GALV. •- STEEL I�I i I�T <br />GORPORATION <br />CURB COCK <br />SERVICE F?OX <br />METER VALVE <br />METER No. _ <br />METER BOX <br />OT <br />PLASTIC -- C I <br />_ _ . _..__... .. _ __ _ _ <br />___ .—. _ <br />— . ___._ _. TYPE . _ . - -- I—S <br />CONCRBTE _ _ SMALL LARGE <br />I � ON <br />DATE INSTALLED: �—� � � <br />OFF <br />CO�E � 1 LA90R ANO [OUIPn�ENf RENTAL <br />REMARKS: <br />� <br />"' .R f„�. <br />'_I__ I__.__ <br />___. i . ..__ �. . <br />__ — <br />SUB TOTAL <br />HOURS � qqTE <br />I—.... . <br />i__ __ <br />.__I_ _ __—.I_ __ <br />rorn� <br />