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; <br /> , <br /> . Y .� Fd �. y �fK` � <br /> ( } 4 <br /> .. `�d + `�(. <br /> y � <br /> Y�'�` I�. .} . <br /> � :i-� <br /> . . . ' .�,+:. ':� . <br /> ����� SERVIGE jV� � 730 <br /> pppLICATION FOR SERVICE ORDER <br /> : N�. CITY OF EVERETT WATER DEPT. DATE�'=1=-19� <br /> FIXED W'�' �----- <br /> i ❑ EPOSIT ��'��I No. �ST I /� L;•'� <br /> , � L <br /> O ��GL/ _�___BLK. LOTJ--�ADD.I� <br /> � �2T <br /> / (�957/-teN'f <br /> ' SERVICE (aY wOORcsa/�+�-� GONTRAGTOR '— <br /> � �hf _M�_I.QiL+ �(/�. y.S ✓� <br /> ' OWNER �-- --- <br /> � �l K'� n <br /> I INSTALLa��--METERED SERVICE--�------�"- . <br /> I I HEREBY I�PPLY FOR THE USE OF WATER IN ACCORDANCE W�TN THE �—� iO l �4_���_ <br /> S/Y� ��� <br /> eicHso: X- <br /> I GRDAS SAME MAY P EL'HERE FTER CH NGED DEPARTMENT NOW E%ISTI PR'cE AMOUNT <br /> Si IN. 1 IN. � 2 IN. I�,�� , <br /> MATERINLS _--i , , , i I __ <br /> � L�� �__{�_ _ <br /> ^pPER - GALV.-- STEEL �_�_ I I <br /> � PIPE � - '� <br /> �— - <br /> � COHPORATION � --- <br /> I � <br /> • CURB GOCK OT I <br /> �--- _._ <br /> RVIGE BOX� PLASTIC_G I _ / ---_------ —__ _ ____ <br /> I METER VALVE I if I -- <br /> �oO<� TYPE:_M _I�IC- -.__I_.._ � <br /> METER - <br /> � SMALL LARGE <br /> I METER BOX CONCRET���������-- i �_. II <br /> I �c�i_ _ �__ <br /> V-- — -- —. <br /> � --�— — <br /> � __ _ �---— --I� __ <br /> _— ---, <br /> , <br /> -- - -I-- ��_i-- <br /> I � �N � /// SUB TOTAL <br /> I I r✓OFF� CQ/1�L'_ <br /> 3 - G ' 73 4° �`" <br /> I DATE INSTALLEU: � HOURS RnTe <br /> L.�BOR AND EOUIPMEN�f RENTAL � I � <br /> COCE � _ ---- <br /> �"__II ---_ -- —C+��—I� - <br /> j - ___----- ��I�- _-- - -- <br /> � �------ ___--_._--__-�`�'-----� - <br /> ' � - --�1-----��I_��-_ -_- - - <br /> I--_Ii '__.— '____-__. TOTAL � - <br /> l� <br /> I� _/ �_. <br /> � /� / — -__---- <br /> IREMARKS: �/%1 L� - _ . . � <br /> �-�--_-- / ✓ � ._-__.�__-_- _.__ . . _ . . .._ . .. . . <br /> „�t�::. �}y;, <br />