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aQ�,�. 2 O 3�� APPLICA710N FOR SERVICE ORDERE �� � 0 1 5 <br />�o� ��� ; 7 CITY AF EVERETT WATER DEPT. � lf� � � �� !� <br />� i onrel— —te`�— <br />�j F�xeo / <br />n DEPOSIT g � � �_ _ _ Nd:9�' ___'_ <br />, .� �� .,l �� -y�"1 /� <br />� . 1� BlK_ _LOT_ / DD._ <br />BERVICE (eY AOOREse)� � � � � �� ) �/ �/ <br />OWNER��; — �— - <br />_CONTRACTO "�'�"�t/ C.,O-7L.0-/^ '--�'�� . <br />7� / FLAT <br />INSTALL-�`�- 'i.1E46ACL��SERVICE--- -'---- ' <br />I HEREBY APPIY FOR THE USE OF WATER IN ACCORDANCE WITH TNE �y// � <br />OflDINANCES ANU PO4LIE5 OF THE WATER DEPARTMENT NOW EXISTING Slctu[o: X� �Y�-���-��-`.---- <br />OR AS SAME MAY BE MEPEAFTF.R CHANGED. <br />IdhTEPIALS � 4i IN. � t IN. 'i 2 IN. � PNICE II ��V� <br />� <br />PIPE COPP[R -- GALV. -- STEHL I�. I__I �I I_ _� '"�, . I �. <br />CORPORATION ��• <br />CURB COCK OT <br />SERVICE BOX PLAS <br />METER VALVE <br />METER No._ _ _ __ <br />METER BOX CONCRETE <br />DATE INSTALLED: G I ( <br />CODE � �� <br />� �, n . �' • <br />r_ <br />�I � �' ' � � <br />u <br />i� <br />REM/` RKS: <br />-_-: - �- <br />•- C 1 <br />T\'PE: I 3� <br />SMALL LFRGE <br />� � I � u� <br />ii . �GFF <br />LABOR ANO EqUIPNENT RCNTAL <br />0 <br />� <br />,-_', . ( . , • �' <br />SU� TOTAL <br />MGURS RATE <br />� �_ <br />� — <br />TOTAL <br />...__l_. .. __'_.... <br />