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- •� APPL /I�,'\D� I <br /> ' � No. ��p CITY OF EVERETT SERVICE I�I° 6853 � <br /> ' APPLICATION FOR WnTER SERVICE ORDER <br /> � FIXED � 'zC: �);��!lb�R� APR 0 9 1997 onre__�—_'�j_�s� <br /> � DEPOBIT �� -� <br /> '�\ W. O, <br /> No._ <br /> SERVICE�1lr�ooeu��_(S�t"LJ�� BLK,___� <br /> j�j-�C� ADO. — <br /> OWNEF�LL� ✓ . CONTRACTOR--��� <br /> INS7AL� METERED•$ERVICE— <br /> I HEREBY APPLY FOR THE USE �MTER-tTI�ACCORDANCE WITH THE 1 — <br /> OpDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING <br /> OR AS SAME MAY BE HEREAFTER CNANGED, e�cHeo: � <br /> MATERIALB 741N. I IN. ' IN. --�� �� _�— �_ __�—_ <br /> �� � I � PpICE AMpUNT <br /> P�PE � � COPPER•-GALV.-S7EEL /�(b � I , <br /> CORP 1FFl9� 3 � �� --�`�--- <br /> , �� a* ��0 3B l 0 6�5�7 _i�, --i�_ -- — <br /> '�'r^��Zr�s� �� 38oZloy7 I — <br /> "'"-"""'."" �lo So-�� - — W'►^e, <br /> ��,,�. — — —J—�-- <br /> ETE -�38��Sy7 'K'� �.s�- �-- --- - y� — �--- <br /> - - - <br /> - -- - - --- <br /> —000��'ft47- s�.e: _87ZZ� -`-- � <br /> METER O C�NCR��Q ACT-IO4V ALL LARGE / � <br /> fild --1_.__�_..___ __ . <br /> 3aoo aN-�-��a-����7_3�f 7__.- _� z i <br /> ,r �_-- <br /> � 3S�0 A�plications without a �Z`17 � � � <br /> S SpQ�Backflow Prevention ConsulWtion q/ --i --'-- -- — <br /> I <br /> Se. 3�0 �tf JSEE INSIDE _ -__ <br /> �g•,Mµ.(,s c �-m��f- I--�21' <br /> —';a'a-�-�3=�-M-a�a��rer+,.:� �— -� -- <br /> ,r I , �i I � — -- <br /> I ON <br /> DATE INSTALLED: 7 - / � •- 9O �- OFF SUB 70TAL <br /> J <br /> ��i� LABOp AND EOUIPMENfRENTAI - � �� i MpURS pATE <br /> A,���-I__-___ __-- <br /> 1�% <br /> � - - ---Z ' �i <br /> ' ---- 3505 �-- ---- <br /> � -- ------ ----- ---�— -- -- <br /> _�— —--------- --- —I—— — <br /> TOTAL <br /> REMARKS: <br />