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0 <br />A�rL. BERVIC[ " <br />No. a(p � CITV OF EVERETT ORDER N0. !. � �. O <br />. ' APPi.ICATiON FOR WATER SERVICE -�/ Q/ <br />� FI%!D OATE.__..�/�10QY_ <br />�� <br />� DE�OSIT: �� _ W.O. <br />No.--NA _ <br />lERVICE t�Y�oo�tnl <br />---�1-�-��L(J_.'�-.G--.� —.BLK.._—LOT-J-_App��II���I <br />OWNE�U _ __CONTPACTOR__.L`rYJ-.UUi//!Y'/A/ <br />/ __ _ _._ -- <br />I(" LAT � �--_-� -��- <br />IYqTALL�_ RED DERVICE-- . _ _- -_ ____ _' . _ __ _. ._ ____.___ <br />—_ <br />1 NEREBY APPLY FOR THE USE OP WATER IN A[CORD�NCF. WITN THE j� <br />ORDINANCES AND POLICIES OF THE W�7ER DEPARTMENT NOW EY'STING �F- S /. <br />OR AS d�NE MAY BE HENEAFTER CHANGED. uor+cu:7V.� �w�- c��__ _/�--y✓� <br />MAT[NIAL� � 14 IN. 1 IN.', f IN. i I ►111C[ AMOUNT <br />PIPE COPPER-GALV.-•STEEI—� _ `� ��__I_ I �� <br />CORPORATION <br />CURB COCK OT <br />lEqVIr,E b07( PLASTIC - C I <br />METER VALVE � <br />.____ _ .. _ . . ._ . . -_. <br />METER No. fYPIF: I �{ <br />METER BOX CONCRETE l�MALL t.ARGE i <br />_ ._ . _ _ . . . _ . _ _ _ _ I. <br />. _ _ '—_ _ _ _.. . _ . _i_ <br />-- - -�I— <br />- . —. _. .. --- -- -----. . <br />OATE INBTALLED: ��'Q�p/ I � OFF SUB TOTAL <br />coo■ � ��OR ANO EOUIPMEN f RENTAL � NOURS 11ATE <br />I— ----. ._--. . L-��f�T�WLTO,P- - � <br />I_. .. --.._I ---._._. .-- <br />--i ----- -�o �/ �f0' / - �-- - _ - -- <br />, _ � -- <br />- __ -- <br />i � - <br />- -� -- - - - - _ _ - _ --� --- - - -_ --_ <br />REMARKS: <br />TOTAL <br />— I <br />