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�, qpPL� � C O� wYPLICATION FOR SERVICE ORDER� N� 2456 <br />' N�� �� �� CITY OF EVERETT WA.TER DEPT. �/ �� <br />FI%ED DATE.��? .—ieF L— <br />Q" �.• <br />��� � DEPOSIT s „� � ry O. _ <br />I �s� � / <br />�� SERVICE ievwDORessl----/ 5-�• �i'i3"�✓ V BLK._�l"—LOT�7—ADD � � ��--������L.�-� <br />� OWNER ��� � 1 � �'�� — _CONTRACTOR � �� �V C'i�' I�� i /, ii ___ <br />� � LAT <br />; INSTAL � � RED SERVICE.-- — <br />I 1 HEREBY 11PPLY FOR THE USE OF WA7ER IN ACCORDIINCE WITH THE / __ <br />I ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. sicrveo:X.-_ -(/�� - <br />MMERIAL9 I��� IN.I ����• I 2�N• I I I I PR��E (� AMOUNT <br />i- <br />i PIPE �COPPER-�GALV.•-STEEL <br />. �-'— <br />' I CORPORATION <br />i � CURB GOCK OT <br />ILSERVICE BUX PLASTIC �- C I <br />� I M_TER VAWE _ __ <br />�ETER No. C�> —__ TYPE: ���/ I 1'e I <br />I(METER BOX CONCRETE SMALL�; LARGE � <br />� ,,.✓j � <br />; �; : .._.a <br />x�-.�. <br />� ON <br />DATE INSTALLED: «�— ��.- "�! 7 I � OFF <br />GOOE � 1�80R ANp Epl11PMENT RENT�L <br />I�. _. f .. _. <br />� �1 <br />I REMARKS: � f.��C� �t� J% " t,�__ <br />I_ C.�_�. ____ <br />% <br />SUB TOTAL <br />HOURS � RATE <br />I /f <br />TOTAL <br />