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w-/ 7' SERVICE � � 1 9 G 1 <br /> pppL,4 � � „�.�/ Af?LICAYION FOR SERVICE ORDER � <br /> "�. o� ��i I � CITY UF EVERETT WATER DEPT. <br /> DAT� - a_,s.� <br /> �5Q FIXED <br /> �'� , W.O. <br /> � DEPO5IT g ��, � C O No. n <br /> 3/� J � C� �/ BLK.�LOT_L�ADD. r�" ' /'� <br /> SERVICE fnr�..;oResa) /nL`/•J�,�7 (� ' / <br /> OWNER��'1v�D ✓-+K-�7�J� L����� --CONTRACTOR <br /> ' FLAT <br /> INSTALL��—�� SERVICE_ <br /> 1 HEFEBY APPLY FOR THE USE OF WA74R IN ACCORDANCE WITH THE \ <br /> ORDINANCES AND POLIf.lES OF THE WATER GEPAR7MF.NT NOW EXIS7ING _� <br /> OR AS SAME MAY BE HEflE,1FTER CHANGED. s�cnem - - - <br /> °w IN. 1 �N. 2 IN. _I� PRICE 0. OUINT <br /> - M.4TERIALS � � <br /> p�pE Cy O�FPEH--GALV.--STEEL � _ <br /> CORPQRATION �__I_ �I__I_ <br /> CURB COCK O}- _� II I <br /> SCRVICE BOX PLASTIC -�CJT �� , � I_ I_�_ ��I I— <br /> ME7ER VALVE _ __ - ----- ---{� <br /> METER No. TYPE: I ;f _ ____ - II <br /> METER BOX CONCRETE SMALL LARGE _ __ �L�I <br /> � � I <br /> �° C�e��� �I �__I_ I�I <br /> — � . � w �, �:�t w ,, —; � i- <br /> o —� — �_ � <br /> •��y�t 5.d� o na� �, _I --� <br /> ; I I � <br /> ON <br /> DATE INSTALLED: / ��� 7-�_, '7c1 I � OFf ;�f���{� 5 TOTAL <br /> lGl 0(.7 : � <br /> CD�E I , LADOR AN[�EqJIPMEN'fRENTAL_�_ i H�5 RATE � <br /> I - �:1.�" i1 _ — I <br /> I ' y __ � � �� <br /> ���� �������_ � � ��— <br /> -, , � x�- .�� �_�—_ i. I <br /> a x - <br /> �-�- I� I <br /> I i,2G2. � � :y�� — II�— -- <br /> � -- — -- — li I . <br /> I � —��----�-- <br /> �- TOT I <br /> ",�,r <br /> REMARKS: _ - ,�"'�.,`"�R <br /> _ '?la <br />