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^�'P�' ��3 y$ CITY OF EVERETT SERVICE <br />Y�� AP1P�LItCATION /p�H WATEf7 SERVICE � ORDER �Io 5,� ,�� <br />�, /FI%ED � o+�J I'$S��/ "1�p°LL c�«BFJO^% OATE _�%/I(p_ 19 I <br />�DEPOSIT r � - ` W. O. I <br />s_ v_ d 0__ No.._ -- -- <br />! 1�p ,�_ <br />SERVICE Iereoonu��_. �v_I _ � I� __.__]]!. - .BLK..__ __LOT � _nDD. - __ <br />OWNER__ �` -.__ -_. ��- _ _ _CONTRACTOR�A�C.i . . I <br />�/ FLA . - . _ _____' <br />INSTALL TERE SERVI __ . _ . -- .-.-- --- - - - - � - ---- ; <br />I HEREBY APPLY FOP TME USE OF WATfR IN ACCOPDANCE WITH TNE ', <br />ORDINANCES AND POLICIES OF TI{E WATEH DEPARiMENT NOW E%ISTING <br />OR AS S�ME M�Y BE MEPE�FTEN CNANGED ncr+co: � - <br />M.\TERI�L9 W IN. 1.N. i 2 IN. � � PR� �MDUNT <br />PIPE COPPER �� GALV. -- STEEL � <br />.-'_____ . - _._ __._--_ _____-'- .. _'___� . - <br />CORPURATION I I__ _ J__ __ <br />CURB COCK OT I I <br />SERVICE BOX_ _ PLASTIC -� C I _ I _ _ . _� __ _ __ <br />METER VALVE , __ <br />METER No. .. __ . _ TYPE: I . . I�__ _' I __'__ -. <br />METER BOX CONCRETE SMA �LAFGE <br />___ -. / .--_—"_ ' ._ - _ <br />--- -- L� � . � � �� _ -� -�- - - <br />i - �I —� <br />__ — <br />- - ��� ,�;�� ; ' <br />� ,_ <br />-- <br />� <br />-_ � _ _ � <br />ON <br />I. � SUB 707AL <br />DATEINSTALLED: �, OFF <br />GODE � L�BOP �NU EOUIPMENf RCIITI.L NOURS I R�TE <br />I <br />_ I D� <br />___-_- �� I <br />__ � <br />" _-___"_ _-. ___-_ .._. I -II ._" .� __ � <br />TCTAL <br />FEMARNB:P�G✓tiU I��Ot-s�c�S�f 3/N�SY�N✓� IS N�LiktJ1'�lS�y�;�f�/+ <br />