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� <br /> NOP���O / CITY OF EVERETT aertvice I <br /> APPLICATIOU FOR WATER S[fiVICE oRDeR NO. � - .r <br /> � FIXED 00 DATE�_�G-cJ--_..-JA-� <br /> � DEPOB�T f //� � <br /> �L].V_._.-__ W. O. <br /> No._.__ _71_ 7„___ <br /> nERVICE eren �� � � �,�J �. •�XY� �.4� <br /> --�� �j n _ ___BI_K....__.._LOL.,__._AD[�j{��y �l.I <br /> OW�i""'---�/�=�.(G(/�i+7y.�. =1. . b__ ._CONTRACTOR_.__ _ <br /> . ____ __-_.__ _______.- <br /> IN9TALL� F <br /> ETERED SERVIC .__ . <br /> . ____-____ . -. .- _.._.___- . <br /> '_'___ ' <br /> . ._'_____'_'_-_'-- <br /> REBY APPLY FOR F WATER IH ACCORDANCE WITH THE <br /> OpDINANCES AND POLICIES OF THE WATEfl UEPARTHENT Nf1W E%ISTING A q-7y <br /> OR AS SAME MAY BE MEREAFTER CHANGEO. 9lcr�[o: % Or_. ___R./ 0 C�.�___.. <br /> MATERIAL/ �' IN. 1 IN. I 4 IN. --- �, I PqICE AMOUNT <br /> P�PE COPPER--GALV.•• STEEL I <br /> ._--___�_-_.._-._--_-_-____-.-..__ <br /> _i'-_ <br /> '__.-- -_ -_ <br /> CORPOpAT10N <br /> -.______________ ____-__ � I ._ _.__ ___J.-___ ___ <br /> — __--__-�_._.. <br /> GURB COCK __OT _ ____— I I I I <br /> BERVICE BO% __ PLASTIC.___C I__ I - — -- _- -�� ---- <br /> ___ _ _- �- <br /> __ <br /> METER VALVE -� <br /> -._ .._____ _ . ._ . <br /> . _ __-_�__' _ ____ <br /> ___ .__'_ <br /> , METER No. 1 r c j 7 TypE; I ,� <br /> -4 .._. . ._ . ._ . .._ . ....._ —__ _-I <br /> ._ ____ __-_ -_. <br /> METER BOX CONCRETE _ BMALL LARGE <br /> _ " '-I _ _I._ __ .__"__ __ <br /> -_._"-_____.'_ __"___-'.______._ . : <br /> - - - . ._I _.__ <br /> —� I _ i.-- '__'__ - <br /> __ -'__-_ I I'-_. ' ._.. _ _ <br /> _ —_-_ -_J-._. ___ <br /> -_..--_ _____'.__ _ _ . .'________'_ '__' _I- _ .-.__I___ ___'_ ''_- - <br /> _'- - .. __ ' ' _ ' I. _ _._. .. ._. .� <br /> -__--' _ _ ' _ _ '. _ _'__ __ _'_'-_ 'I .' , '_ '___'__. ___'__' - -- <br /> �� ON <br /> DATEINSTALLED: � UFF SUB TOTAL <br /> "I - �� � � ❑ <br /> CODE � LABOq AND EOUIPMENf RENTAL IIDURI pATC <br /> I (�`"^�� �%%�(. T� .�• I <br /> ----- --------- _ _ ���,d�e- - ,ST,. ______ <br /> —�---------._ --- — ------ -- ;-- <br /> - -- --- <br /> — ---- _ <br /> , _ _ _— _ <br /> —' -- �,3 S/ t�3 , _ _ <br /> , - _ - --- -- <br /> -- -- ---- <br /> -- -- -- - — <br /> --�- - ---- - - I <br /> - _ <br /> ____.___,_ . <br /> _�_... � _ _ _— --- --- <br /> -- . TOTAL <br /> i - <br /> REMARKS: � ..`.� `. /� ._ Y. <br /> -_-___-'_ . " /7_ .L-. <br />