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I A?" • /� �� APPLICATION FOR SERVICE ORDERS N2 1 785 <br />I No. CITY OF EVERETT WATER DEPT. _ <br />I GATE-� <br />I . IXED W O <br />I <br />I EPOSIT S �r�J <br />SERVICE (BY ADDRESS)—1 ✓�� ��t—BLK. LOT ADD.— — <br />OWNER _,G..D��T>�- -_O j„- CONTRACTOR-_- - <br />I � Pear ( <br />( <br />I INSTALL —METERED SERVICE---- <br />1 HEREBY APPLY FOR THE UST OF WATER IN ACCORDANCE WITH THE. <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED: X <br />I-i w IN.^_IN_ 2 IN. �__�—I PRICE I AMOUNT <br />MATERIALS'�- <br />PIPE OI'PE--GALV.-- STEEL <br />.-____ <br />CORPORATION-- <br />�CJI R3 OCK OT — T <br />L SERVICE BOX PLASTIC -- C I <br />METER VALVE —_- -+- I-- -� <br />METER No. f <br />I METER BOX ONCRETE MAL LARGE IIII-- <br />DATE INSTALLED:_ _ ,-5 <br />CODE <br />REMARKS: <br />❑ ON <br />(-1,'-O F F <br />LABOR AND E°UIPMEN'f RPATAL <br />SUB TOTAL <br />HOURS I RATE <br />T' <br />y <br />