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I �y��� SEI:VIGE IV� �? `i . <br /> ��� ppPLICATION FOR SERVICE ORDER <br /> APPL. � / <br /> No. CITY OF' EVERETT WATER DEPT. /�/,+-- r- J_� '� <br /> DATE <br /> (�•�� �1� <br /> �yY' FIXED W'�' <br /> .�t' / cOU No. <br /> CEPOBIT f(Q��__ �� � � <br /> � I ^ / <br /> 7lZ��tK. LOT`t���DD... <br /> L,,� �� , ,Q_.- ,�c-t;f-f•l` -1 . ! <br /> $ERVICE /BY ADDReee� �Z �����-��'�-' ��� <br /> CONTRACTOR <br /> rn <br /> OW PIER � <br /> � �1 FLAT <br /> INSTAL METERED SE[2VICE � 'I <br /> 1 HEREBY �PPLY FOR THE USF: ^F WpTER IN ACCORDANCE WITH THE r�{_it _ — <br /> i <br /> 81GNFD:X <br /> ORDINANCES AN� POLILIES OF THh. •V�1TER DEPARTMENT NOW E%I5T �- pMOUNT <br /> OR AS SAME MAY BE HEREAFTER �:�•{dP:GED. � �N � iN � z iN. �_ I <br /> :AATERIALS I I <br /> COPPER•-GALV.•-STEEL _�}--- I�� I <br /> PIPE _ I <br /> GORPORATION I — _ I�I-- <br /> CURB COCK �T I _. <br /> SERVIGE B0=__P�'AST�C '" C 1 -- - -- _ _ <br /> METER VAWE ____�------��A -- .-- <br /> TYPE: _ -- <br /> METER No• .___.-.--- _- , <br /> CONCRETE SMALL LARGE _._ - I <br /> METER BOX _ L�i <br /> i� ��__ <br /> � -- <br /> I <br /> ._-- - I <br /> I � ON SUB TOTAL <br /> � OFF I <br /> DATE INSTP.LLED: �oURs � RATE <br /> �.ABOp NND EOUIPMENT RFNTAL � <br /> COOE � I <br /> � I� --1�—I <br /> '' I <br /> I � !� — <br /> — � I <br /> 'i <br /> i � <br /> - � ---—_—_— I �j�� <br /> j _ --- I----`,--- <br /> �- I TOTAL � � <br /> I <br /> R�rnneKs: Service instclled b L'�hildar _ _ _ �_ <br /> � �.>�� ---- ---- <br /> � -- — <br /> U ----- <br />