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�PP�. �7'�[�/7 � CITY OF EVERETT seRvice �J� � � �8 � <br /> No. ,� �� )l/�� qppLIC.4TION FOR b'.'ATER SERVICE ORDER <br /> /_ 1 �C� <br /> �FIXED <br /> DATE_��i 8'�/ <br /> DEPOSIT s '� �f� 1 W. O. <br /> ❑ —�_- No.—. — <br /> � �j �� .._ � .- � ��. ��� <br /> SERVICE (e�AE88)._LL, 1 �' / - � J '� %) BLK.. LOT��� AGD. �f� <br /> � , � <br /> 04VNE - �� - CONTRAC70R_ _ <br /> ..�� 1! �ni' ----- <br /> INSTALL. MET�RED SERVICE _ —_ <br /> I HEflEBY APPLY FOR THE USE OF V/ATER IN ACCORDANCE WITH THE r� <br /> ORDINA'•�:ES AND POLICIES OF THE WATER OEPAFTMENT NOW E%ISTING ' <br /> OR AS LAME MAY BE HEHEAFTER CHANGED. e�cr�eo: X . �+�+ � <br /> it.a_� $� <br /> ��u�9---- <br /> MATERIAL$ Yi IM.� I IN. � 2 IN. � � PRICE AMOUNT <br /> I <br /> PIPE COPPER•- GALV.--STEEL � <br /> CORPOPATION � � —�i <br /> GURB COCK OT � ( <br /> SERVICE BOX PLASTIC -- C I I <br /> METER VALVE � <br /> __—_....___... ..__—_._ _� _—_—__ _-- —_ __ __._ <br /> METER No. _---_____ TYPE: __.—____I__4_— — _—'_— ___ _ <br /> METER BOX GONCRETE SMALL LARGE __ _ __I__ <br /> _ I _I_I�__ <br /> � I <br /> _—� —i —'_ <br /> --- —— —_I —�— <br /> I <br /> I � I <br /> � OATE INSTALLED: � - S /!i �CJ I �' ppr SUB TOTAL <br /> ( [ <br /> COOE � LABORAND EqUIPMENTRENTAL MOURS pATE <br /> �.� <br /> I —_—� _ <br /> I I __ <br /> -___'—""_'- -'__ -_-i-_-"-- ___ <br /> __—__"- I _— _- <br /> i —_- j - <br /> i __- ____-___.-' ---"__T <br /> I <br /> TOl'AL <br /> REMARKS: <br />