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APPL J J, 4 APPLICATION FOR SERVICE ORDER No <br /> No. CITY OF EVERETT WATER DEPT. <br /> • /n r�. / DATE_-- t <br /> �j <br /> FIXED W.O. <br /> N❑' <br /> No. <br /> DEPOSITS /DD \ )/' I <br /> LOT A <br /> SERVICE to ADDeon_`y 3 � � <br /> e — _CONTRACTOR <br /> OWNE <br /> �/ - <br /> ilATINSTALIETERED SERVICE— <br /> I HERESY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING SIONZB:X <br /> OR AS SAME MAY BE HEREAFTER CHANGL.. PRICE AMOUNT <br /> MATfR1ALB 14 IN. 1 IN. i IN. I <br /> _ R <br /> PIPE OPP � <br /> lt5 615 <br /> CORPORAON <br /> CURB COCK T' <br /> _ 16T _ <br /> SERVICE BOX..I PLASTIC <br /> METER VALVE — <br /> TYPE: <br /> METER No. ---- '— <br /> METER BOX CONCRETE SMALL LARGE <br /> � I <br /> - I <br /> Ia ON <br /> 1 SUB TOTAL <br /> DATE INSTALLED: OFF <br /> NOUR3 RAT[ <br /> AND EQUIPMENT RENTAL <br /> CODE LABORKPI <br /> I <br /> I �' is c' IJ --'�--•�•1�s `� <br /> TOTAL <br /> REMARKS: <br />