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APPL.����J APP.4lCATION FOR SERVICE ORDERE {�° � E 9O <br /> No. /��� <br /> CITY OF EVERETT WATER DEPT. � � <br /> IXED DATE ��ICL19�y <br /> � DEPOSIT s ZS� No�� <br /> ��j(� �/vA/Vf� �`L ✓` BLK._�.LO'T� �L� �t��. <br /> SERVICE (BrAQ DRuq A��' <br /> OWNER �l,L���JC^'�� CONTRAC70R <br /> INSTAL� �j�// �ERVICG <br /> I HEREBY APPLY FOR THE IlSE OF WATER IN ACCORDANCE WITH THE � <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. aicrveo: X ��o' <br /> MATERIALB �i IN. t IN. � 2 IN. I P CE FMOUNT <br /> PIPE COPPERi-GALV.••STEEL � I � I <br /> CORPORATION I I I I I- <br /> I <br /> CURB COGK OT I I <br /> SERVICE BOX PLASTIC -- C I I I II I _ <br /> METER VALVE _L. ___ <br /> METER No. .�(j� TYPE: I 7f � __ __ �_ <br /> METER BOX �� � LARGE 1__ _ _ <br /> r--- <br /> G O � I I <br /> /)"E%E'.e a b�/�i'.'.C� � — � <br /> —I � �''� <br /> � � <br /> I <br /> � � � <br /> rvf ON <br /> DATE INSTALLED: i/,�C` O OFF � SUB TOTAL <br /> 7� <br /> CODE L BOR AHO EOUIPMENT RENTAL I HOtIRe RATE <br /> I � ./.� _�� � <br /> � � ` � , /l!�.�T I� 1�- <br /> !��.:..�.,_ - , . � �i� � '��'sa,� 2S I-�— !�— <br /> . I �_ I,' I <br /> '�Zs����' _a��- I �' I <br /> I - — - <br /> � --- – i-- —��I <br /> - � ,F-�-'�'�- �i- <br /> TOTAL <br /> REMARKS: ��� �_ <br />