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9�/� SERVICE 3 3 5 <br /> KPP�: ' APPLICATIQt1 FOR SERVICE ORDER No <br /> "°• CITY OF EVERETT WATER DEPT. . , � ���-�� ��•_7 <br /> ��� � 4, DATF � <br /> FIXED W.O. <br /> ❑ � ,� ._G c.i No. — - <br /> �DEPOSIT i ! / � .J _ ' . . <br /> / .` �� , /�ADD..'— <br /> � �/�� �i.' c' �__ C.I��' S �_.BLK._--LOT <br /> JJ- <br /> S[RVICE ter �ooee<e� . G'�' ���',;�v % ,.� N ti ti� <br /> nl' ft, ,, V �. 't � r � r CONTRACTOR � <br /> OWNER Tl <br /> 7 � n -pL�T <br /> INSTAL� � �� -METERED SERVICF - ;- <br /> i <br /> I HEREBY APPLY FOR THE USE OF W�TER IN ACCORDANCE W�TH THE 4 5 �G� �.,_=`c=�-`.- — <br /> ORDINANCES 11ND POLICIE� �F THE WATER DEPARTMENT NOW E%IS71NG B��NED: X • � � <br /> OR AS SAM1: MAY BE HEREAFTER CNANGED. pqic[ AMOUNT <br /> � MATERIALS � IN.I 1IN.I2IN. � .� �71,5G <br /> PIPE OPPER= GALV.-STEEL S.� � I � �i L <br /> CORPORATION / I —�� <br /> — ; <br /> CURB COCK �T I I I__. � <br /> BERVICE BOX PLASTIC •- C � _ -- I � <br /> / — - - 3 <br /> METER VAWE __ I � <br /> N'�..SC.�i-_.�� TYPE: ,�.s<<- 'f' __ ___ -_ J-� <br /> METER No. ��� <br /> METER BOX CONCRETE� M_�_L Lp'RGE _L I I �I ^.y <br /> _- /�� <br /> l- y� -73s- � — .Z I <br /> � 9� ° —�- � I 3 <br /> --- ��"_ ` � i I <br /> _ I — <br /> — -- � — <br /> ,-y� I � - <br /> I lJ -N , SUB TOTAL S' � 9� <br /> � OFF <br /> DATE INSTALLED: /_� _G J Mouns RATE <br /> LABOR AND[OUIPMENT NENTAL , 1✓ <br /> �o�Ei I y� � _ ' ., ' <br /> � �e�2 I �I_ . . I <br /> i ----� 5. ; . , ,�I��, i---- <br /> �. ' i <br /> '� �_ _ I — _ I� � <br /> �,�_ -------- Ii—�-_ I�I� —,� <br /> / �i , I I . . ./; _'I I <br /> ��d —�----°—�— ------- ---I �--- <br /> �— —roTn�l 6� 4. <br /> REMARKS: ___ J � _ <br /> �q p � 1 ` __-_-__._ ._ _ .. _-___. . . <br /> .l.�s,._ �-_�1 / -_. ___.__ _-. <br />