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� SER��CE N� 2375 <br />2 ' pPPLICATION FOR SERVICE ORDER <br />APPL�/j �� � <br />No. <i CITY OF EVERETT WATER DEP7• pqTE��<I-=1 —�9 . <br />I �Fixeo � w. o. _ — <br />I U No.-- <br />� DEPO3IT �_ /J ( ������T_ <br />i LC)T_! .1--ADD. -1-' <br />�' �� I� f . s, I_V _-BLK. (-!f!�lrtLYL <br />l <br />SERVICE (eYAooRess)- _CONTRACT�R <br />� �_ .,�� ��S�VC�LI'� - <br />OWNER� <br />i � �� � FLA7 , ' <br />� INSTALL--�-- ERED SERVICE---- // �j ` � — <br />( �( /�.%' :�r'-�.� �=' <br />II I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE W�TH THE SIGIJED:K ��� <br />I ORDINANCES AND POLICIES OF THE WATER DEPARIMENT N0�4 EXISiING I_--I ARIGE ^M� <br />OR AS SAFiE MAY BE HEREAFTER CHANGED. � <br />°I� IN. � 1 IN. � 2 IN. <br />i-�-�� MATERIALS �j I �I I <br />/ <br />PIPE ',COPPER -GALV.-.STEEL <br />`�' <br />CORPORATION ,___--� <br />C U R B�_- _O�_T-�� -�.---�—� - <br />� FLq57�C - C I <br />SERVICE gOX _ �—��- <br />METER VAWE ___ _ - "— <br />TYPE: � � <br />METER Na• __--- "-- <br />--�—"- 9MALL LARGE <br />ME7ER BOX CONCR�------- <br />I OATEINSTALLED: <br />�� �� <br />CI (ipE � <br />REMARKS: <br />� i � ON <br />� OFF <br />_ / � -�' <br />��BOR� EQ��PMENfRLNTAL <br />/ �) <br />GGciT� �t <br />i <br />� <br />� �h <f-�_s7 - <br />_— i..: c ;/ <br />�---- <br />f <br />SUB TOTAL <br />HOUR E <br />TOTAL <br />