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20 � � 0 ° 996 <br /> SERVICE �� <br /> pFpLiCl+�TION FOR SERVICE ORDER� <br /> AP�L. �� <br /> �,J��-�� r�TY OF EVERETT WATER. DEPT. oAT�, ; _�e <br /> ,� <br /> �FIXED N O� _�Qy((J <br /> / :J`� N <br /> � DEPOSIT �(.�r___ <br /> n LCT_--nDD.--� <br /> Vj (� � (�`�4 L� ____—ULI<.-- <br /> SERVICE (erAooa s1J�— }� / __ <br /> ��. /.��'�,.��(jo�_GONTRACTOR "T-�,, ! <br /> OWNER�II.�S-_-tSidcA��� {y`�� _ ,_s!L l <br /> / // �.1 / <br /> INSTALL�----METERED SERVICE------ 1 . / , /i'� <br /> / � U <br /> I HEREBY APPLY FOR THE USE OF WATER IN A :CURDANCE WITH THE ✓, I�� �� �„ � _ <br /> � / L� <br /> ORDINANCES ANU POLICIES OF TNE 'NATER DEPAFTMENT NOW E%ISTING R��r+eo: X--'. -J-^ ,� - <br /> OR AS SAME M�Y BE HEPEAFTER CHANGED. �qi�E nMOUNT <br /> ?i IN.I 1��N. � 2��-N. � I�. �� <br /> I.tilT£FIALa '� / <br /> P�PE L4brPER GAL__ V'-- STFEL-�__I��--L—Ij /C"-i� �I� <br /> CORPORAT{ON �� �� II �I� ��I_.y��L- <br /> �CURB COCK' OT I II I _ <br /> SERVICE�BOX PLASTIC - C � �-- I � _ <br /> ME7ER VAWE __ ____ -. —I - � ��-1� . <br /> �-- ) py YPE: '3 c/ —�—_ __ '_--_ _ -� <br /> METER No.���G=J-Q.I_f"{CQ.��GLJ�"`-I- i4 _ - (j+il <br /> ��.I/ � <br /> - SMALL i LARGE — '--— �I (l� <br /> METER BOX CONCRETE �_- —� I I <br /> ---- �� — — � I <br /> �' > —�� — �—II_ <br /> � �;_ - ��� — -- – – <br /> I ' – <br /> � <br /> I I I <br /> I ❑ �r' SUB TOTAL /n �/ <br /> / <br /> DATE INSTALLED: d-�FF /�� � � <br /> � � MOIIR•_; RATE <br /> ���� LABOR AND EQUIPMEN� RENTA� �I �y I ( <br /> CODE I I � —�—�----'- <br /> I�y I <br /> L�-L_-_ -- - _ ���� -- <br /> � _. I-�- -'_-I�I --. <br /> __-I..�t� ---_�— 'I--- _ <br /> ii �i' I, <br /> -�-_.-__ __-_-_--- ��-_-_- _'-_-� <br /> � _---�-_- - -_ _ � <br /> -, --- _-------- -- -----i---_��"- <br /> -- I TOTAL I ��� �� <br /> �� ���___�-- - : <br /> , ' �(/ „ _ '--__ _ '__ - <br /> - __ <br /> .l _ ._ . . ___�--- <br /> RENARKS: )���_iJ,._ .,a�.�-. ._.. . -_ ...J�- <br /> _� <br /> �,���'b�" __- - _ <br />