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_ <br /> APPL. ���� / APPLICATION FOR SERVICE ORDER•E rJ� � � 2 n <br /> No. <br /> CITY OF EVERETi WATER D�PT. /� � <br /> DATE_.�_!___._ .. .. .t '.� <br /> � FIXED � / <br /> C��OEP091T S 17�J i� No?__—__'_._._._- _.__. <br /> / � G ` s����>%H,sf� <br /> BEkVICE (BY ADDRest){{:=�f���-/�� �/T ����LL—' ----.�L K._-__--LOT---�1DD.---____-- <br /> � �� �r � A C�� <br /> OWNF.R�['.1�.�� r!I[.L--__�L���/�______-.___CONTRACTOR_.�71_��frLLz_7_ <br /> '��� n ,r�,r �� '�2E•-/�i�l � -,�toN�,:nF <br /> IN4TAL� -7_�—!�!�w�aERVICE___. ._- _ _ ___ ___- __ ___—_ _.--_----__._-___ _- _...._- <br /> I HEPEBY �PPLY FOR !HE USE OF WATER I�1 ACCORDANCE WITH THE � � <br /> ONDINANCE9 ANO POLICIES OF THE WATER DEPARiMENi NOW E%ISTING .I� �� <br /> OR AS SAME MAY BE HEREAFTER CHANGED. cicr+Fo: X�'S '�_ ��.�c__L.1 ce 1- <br /> �' <br /> FIA'EPMLB �a IN.I 1 IN. 'i 21N. . . . ��J PRIf.E ,(� AMOUN! <br /> plpE CCOPP�F�--GALV.•-STEEL `LI I I' I-- _-_ __{___ 9 I G9 <br /> .-__ -__. _______ _ .-- E—___-_ � <br /> CORPORATION ____ _.___._--_--_.___ -i__ -_I�- _ _.. '3 II_�S <br /> CURB COCK OT � I <br /> _—__'__._"___ -_'___-__. '_ __. ____ -- "_�-_--_' <br /> SLRVICE BOX PLA9TIC -- C � I _I__ _ II___I_ <br /> METER VAWE �� �� -��-� � ���}� I . ___ I � �� I � I-�.7-_ <br /> _METER No.--. . - __ __ . ..7YPE �L t���>f/ _ �__ __'I _ % � �-3.�r 3 <br /> —,�33Y — -- -- � / 8 I 3/ <br /> METER BO% CONCRETE i9MA�L L.ARGE � � = � ____ <br /> '__ -_____>____r.-__ _____ . .. _ _"I.____ `' i . <br /> _---- --=_ __ -_�-- - _� �1--_i� <br /> ---- - ----------�---- - --�--- -- <br /> ---- - -- -- --_i--�--�- --,---�--- - �� -. <br /> ------- i -�� - <br /> "aN I <br /> DAT� IN9TALLE0:2 ^ S,_ 7� � OFF , ��'Nv 1 SUB TOTAL I S9 �,• ,� <br /> COD! � LABCP �NO EQUIPMEHT RENT�L I HOURS R��[ � <br /> � /A . . __—___'__""__ __-"__." —__"___—'-_I_�_._ .----ti'_- _ ___ <br /> —�1u*"�f`�----- --- — --I --"-1 _ I � <br /> I <br /> � ,l J - •r �1r_g_�.-- B ,, I� _ �'��_ /� : _ <br /> . <br /> - ----- c —T--- - <br /> -_'���'.�. �2w�F .� iNi :�'—�L't -•�_ r,i 'I�I.iJ_ 1 <br /> '_` ____"_-' -. I. �-1 <br /> ' . <br /> _ � <br /> . ....._ _-__"_. . . . <br /> � 1, , � ; �, ------ -- -- � <br /> — -- - ----- -- — — � � � _ _ <br /> —i <br /> -----�- — --_- - --. _ -- _ . . _ ..- -- -_ . , --- - .._ <br /> _""_�'�� / + . � ��� � --' .� . r-I -- ?p�l �<�� <br /> REMARKS: � / r'�� <br /> S ' c;M+ _�.�A�L� •�,w c.���_� _,.�4.( � S Y_ �_ _•_�, . <br /> - -- �}►�, A -�i ' <br /> , � , � � <br /> �+^'7 -"� _T 1' �'µ�.;l.(1� I 3�,, .!, � �j...,.Y � n.t<4�<... l 3/y 01 <br /> o � <br />