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APPL. '7 (���I � � CITY OF EVERETT SERVIf.E ���o J Z�i 2 <br />No. �-- D ORDER <br />APPUCATION FOR IVATEN SERVICE / <br />� FIXED DATE-___/��LLt_ ��18_I1-. <br />� DEP061Ts_��.Cl-`-L._ ^ "^criN� �;�.`i C� No�_--.__'�__ _ _. ___- <br />9ENVICE 1�r �oneotl_ - ��l�' 7J t ,�J l _J �v_ _ ._ ._ _ .-____-_BLK.-_'. _ _LOT. �__ADOf�JG1 j!� �.�L°�- <br />OWNER_.__-(.J�lJ.�/YN./JL'.V-�-,. __'. _ _'_-__CONTRACTOR. _____. "_ _ __ _.'- '. - -._ _ _'_ <br />INSTAL� d �fLAY_ ___, l._:3 --^VICE_ � � y %_ 1) ._ _...�. _ _'_ __ _._._ . _ ) ___ . . _ . .__ <br />yGTcfiP.O'�` � <br />I HEPEBY �PPLY iOR THE USE OF WATEH IN ACCOPDANCE WITN TNE /7� <br />ORDIN�NCES �ND POLICIES OF TNE WATEN UEP�RTMENT NOW EXISTING �`G.,�/;� �� <br />Ofl AS SAME MAY OE NEPEAFIER CHANGED sim�eo.x � _- - <br />MATERIAL• W IN. IIN..21N.1 PRILE •MOUHT <br />PIPE COPPER �� GALV. -• STEEL .�� I � <br />_.__ _ _ __ ' '_ ' <br />CORPORATION �� <br />_-_" _ . . _— _ ____-_.-- _.. _ _l. <br />"_ <br />CURB COCK O7 _ -I � I <br />_ _ _ _. _. . . . _ _ . <br />SERVIGE 60% _ _ _ PLASTIC -- C I . _ I _ , _ � <br />METER VALVE <br />METER No. T�PE�. '. � <br />METER BOX CONCRETE SMALL LARGE , I <br />. _ - '__' __'—� _. <br />._.. ___. ._ _.. _. i _ I__I_.. <br />� I <br />-_ - _-____ _ __-. . <br />_ _ . - '_' <br />. _ . . _' I�'_ . _ <br />' i <br />'__ . . _... _. _. __ . .. .__... <br />_ __. ___ I , , <br />N <br />DATE INSTALLED�. /(� ��' S/ I �FF SUB TOTAL <br />CODE ', L�fiOR AND f.0U1PMEN! R[HTAL I HOL�R� N�tE <br />7 i 3��f `7 �.j � <br />-t�-,-l�- - - - - . <br />- -1 - - - <br />---------- _ _- - - - - .. ... _--_ _- <br />- - ----- _ _- - - - �• - - - • - --_ _-, � -- <br />, <br />- ---- - -----�_::.._:_.__..:..__.__._�_ <br />TOTAL <br />_REMARKS: N�I,L fr/< CC���1�/� - <br />J <br />