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APPL. �I/ �� <br /> No. iJ CITY OF EVEflETT srH•�I�E <br /> FIXED <br /> TO r6l"�jQNTdON(FOR <br /> CWATERSERVICE ORDER N_o/ 7936 <br /> 1 U <br /> DEPOSIT $ <br /> �— W. O. <br /> NO. <br /> SERVICE (BY ADOREESI <br /> SLK.- / <br /> OWNE S LOT..7 A00.___�� <br /> CONTRACTOR <br /> INSTALL 3 METERED ERVICE <br /> I HEREBY APPLY FOR- E OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT _ <br /> OR AS SAME MAY BE HEREAFTER CHANGEDNOW FEISTING <br /> SIGNED: X <br /> -� MATERIALS ---"- - - --____ <br /> III IN. 1 IN. ] IN,PIPE _- _. COPPER•• PRICE AMOUNT <br /> GALV,•• STEEL <br /> CORPORATION --- <br /> CURB COCK. OT - <br /> SERVICE BOX — i <br /> PLASTIC .. C I --I - <br /> METER VALVE <br /> METER <br /> METER BOX CONCRETE <br /> SMALL LARGE _ -- <br /> DATE INSTALLED: L"N <br /> CODE C% Fq OFF SU8 TOTAL <br /> LABOq A NDEOUIPMENf RENTAL <br /> HOURS RATE <br /> - ---lv0_ACTION- -- <br /> - — -- - — — --WJU--b taken-on-sen, <br /> -- I applications-wittlout <br /> cktlow prevention Consultation <br /> REMARKS: T07AL <br /> 3 <br />