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"P�-� 1/�O� APPLICATION FOR SERVICE sErtv�c� �NC ZO�O <br />N�' ORDFR <br />CITY OF EVERETT WATER DEPT. <br />� FIXED DATE_ �� � � y <br />� DEPOSI7 s W.O. <br />__-_- . No.__._____ '_ <br />� � <br />� SERVICE 16Y AD�RE6B1-- �f •' �.I - � 1 '�. �1 �d�.' � _ r� �'/ . ___ BLK. _. ___ LOT .'/_ `_ADD.y1{ty�(isV �. � <br />i i <br />i � J / / <br />I OWNER_�`.IL1i 1n �''_ _ �t�L , .,... � CONTRAf1TOR -�(I.L '1 .# (L�! _ _.��/l-Y_SU�1�. <br />• F�kaOT <br />. INSTALL-'�____METEREU SERVICE_ . <br />_ ..__ _... '___.. .'__-_ __ _ . . - ,- <br />�, I HEflE�Y APPLY FOR TNE USE OF W/,TER IN ACCOHD�NCE WITH THE <br />, ORDINANCES AND POUCIES OF THE W�7E1; �EPARTMF.NT NOW E%ISTING ���/ / <br />� OR AS SqME MAY BE NEREAFTf.R CHANGED. _ BiGNeo:X����c��/i/<'f�{�'-'t.� <br />MATERIALB 4i IN,'� 1 IN. 3=�6 i i I PRICE AMOUNT <br />l PIPE COPPER -- GALV. �� STEEL �6 � i <br />- _. _ ___. .._ _ . ___._' _' — I <br />I CORPORATION � ' � <br />� CURB COCK CT I i I <br />� _ . _'---__. . <br />I. SERVICF. BOX PLASTiC -- C i I <br />� <br />I METER VALVE I <br />i METER No. �/� TVPE/_/��S(. , I y I <br />4 <br />! <br />METER BO% _ CONCRETE SMALL ARGE <br />I_. _—' _. I '. <br />� �,� _ ll"'f���(.5 -- � <br />� y'_'.<+�i,�' �t'/r_ ,� j�/� s I - <br />� <br />; �"x _;,' �-rN�t i �<<� /�, � �irs � — <br />�� I--� <br />' L•�,7s--_ G �s a�>>" T,�� '�. �,,, f :��/1/r � <br />� -,,, , / , � ✓� , — <br />__�__ L'!7i L__.U%h'�S 6_?�V �3 .� _.-- <br />� <br />� �� ON � <br />I DATE INSTALLED: �/ ��, 7� �-� OFF �'� <br />i s� <br />I� COAE I L�BaR AHO E0111PMENf PCNTAL <br />�i <br />� — -CC �' f."�: <br />� �• <br />-.,r,.�s�-CL,t ) _ <br />� `" -✓�dr':' �� � fC�: /�— � �� /� <br />� _ _ �YZ�-lt��'C' -� -�� <br />I ' ' <br />, , �� <br />� _ _ — <br />I REMARHS; �� � <br />. . _ . i ' � <br />� <br />� J%f[� �i � __—. <br />5' - <br />y -- <br />� --- -- <br />`� -- <br />//, . �� � SUBITOTAL � <br />(� <br />NOUR9 p�TE <br />! <br />T <br />TOML �I <br />_ .rt".,. ' -. <br />