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APPL.�� I� CITY OF EVERETT sERVICE ,'. ��•'-' ' <br />No. ORDER NO. : � � � <br />.� APPLICATION FOR Wl1T[R SEHVICE <br />� FIX'cD DATE_ �y��p2—..19— <br />❑OE�'09IT s / � w. O. <br />_.(pO.._/O'�1 Na.. _ ___-_.__ - '____ <br />9ERVICE (�v ADORqry--�LG' - _ �../ ����_.�-r �LL_BLK._ ._ _LOT �� AD0.4GQ�G_rMt{.____ <br />OWNEfl— ._. __ ` _ - _. ..CONTRACTOR� �f� <br />�'�p� __ - ' __ _. ' _ _ _ -' _ _-_ __- <br />J��( /I L <br />INSTALi�/ 7___METERED 9ERVIGE_ _ .. _ --- .--.. —. - __. - -- - -. -.-- -. - .--.— <br />I HEREBI APPIY FOR THE USE OF WATEF IN ACCON�ANCE WITH TNE ///� <br />OflDINANCES AND POLIGES OF THE W�TEF UEPAflTMENT NOK EXISTING p%js/ / <br />OR AS SAME M�Y BE HEREAFTER CHANGED. slc � X F I- �- - .. ___ -- .__ <br />MAiER1�L! W IN. 1 IN. N. PRIC[ AMOUNT <br />PIPE COPPER •- GALV. - STEEL I � <br />CORPORATION --_----' _' '_____--_ _I_.__ ' 'I___ i - <br />CURB COCK OT _ _ ___ _I�_�I _ _ _ <br />SERVICE BO% <br />METER VALVE <br />METER No. <br />METER BOX <br />PLASTIC -• C I <br />_ _ _ _TYPE: ..._ _ __I_ , - <br />CONCRETE SMALL LARGE <br />—_. -_—__ _ _ _ _ .. '_ _-- __ I- <br />DATE INSTALLEO: J2 �/y `8 Z I �OFF <br />cooe � LI�BOR �N� EOUIPMENf RENTAI. <br />--- <br />� I�I <br />-�- , J (� _ <br />� ��� <br />_ -i _ -� �] - - <br />pEMARKS: <br />u <br />1 <br />SUB TOTAL <br />Nouas n�r¢ <br />S� --�'� �� -- - <br />s_�_���e`� � � `� _ <br />�,111 � � �/ - <br />TOTAL <br />