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NoP��,��� CITY OF EVERETT , SERVICE . I <br /> APPLICATION FOR WATER SERVICE ORDER NO. ., .. . <br /> � FIXED DA7�=���_1B�L <br /> � DEPOSIT s 3� r�+ W. O. <br /> a.� _ No._ <br /> ���o N ,�� �aoa� <br /> SERVICE (BYADDRE88) ���Pl BLK.___LOTN ADD. <br /> OWNE __CONTRACTOR__ <br /> INSTAL M'cTERED SERVICE�___ _t <br /> I HEREBY APPLY 'OR THE USE OF WATER IN ACCORDANCE WITH THE�7—� <br /> ORDINANCES AND POLI�.;IES OF THE WATER DEI'AqTMENT NOW E%ISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. e�Gr+Eo: X __ _________ _ _ <br /> MATERIALS �' IN.� 1 IN. 'i Iry• I PRIGE AMUUNT <br /> PIPE' iC. COPPER—GAW.-•57EEL � �� I I <br /> :, . <br /> GORP NA710K1 1 , �.. , _-- j —�—_�i <br /> GURB COCK OT ( I I I <br /> T — <br /> SERVICE BOX PLASTIC --� I � 7 I I <br /> METER VAWE _ _ i � <br /> METER No. __`_ . .__ TYPE: I �f �--____ __ __.__ __ _ _._ <br /> METF.R BOX CONCRETE __ SMALL _ LARGE � <br /> — `,, .. '� / I <br /> — __ _�. I �'— <br /> —I __I_ <br /> —I <br /> I� I_ <br /> I I � I <br /> DATE INSTALLED: � � ���� � ��'� � CJ ON <br /> :� i � OFF SUB TOTAL <br /> CODE ' L�BOp AND EOUIPMENfR[NTAL NOURS R�TE <br /> _ _ � � � 1.-� : � � � �' <br /> --� ) ' _ . . ��- <br /> � !! � l' I � _. <br /> � <br /> ; -�s9-y�--�/ � ��. ��... � .,., - -- <br /> -- --- rr � r; •.} I c <br /> i - - -- --- -�----� <br /> _� -- _ _ --- —— i <br /> TOTAL <br /> REMARKS: <br />