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w® <br />APPL, r�,% <br />No. <br />FIXED <br />DEPOSITS �7 / <br />BERVICC llay OR sl.,.._/L_ <br />OWNER' -� <br />AT <br />CITY Ok EVERETT SERVICE <br />APPLICATION FOR WATER SERVICE ORDER NO. <br />DATE <br />W. O. <br />/No//_JJ__ _.LOTV/ ADD..C-z`1_C�.;,�.0 >� _ <br />_—___.CONTRACTOR___]-___ <br />INSTALL ,L� RED 9ERVICE_ <br />1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED GIONED:X <br />- GAL -_-M l- - ----- -- IN. IIN. AI PpIC[ <br />COPPER <br />PIPE COPPER •- GALV. .• STEEL <br />CORPORA71ON -� <br />CURB CUGK OT _�---_----- - -- <br />SERVICE BOX PLASTIC •• C 1 <br />METER VALVE -- -------_-_- <br />METER No. TYPE: �c <br />METER BOX CONCRETE SMALL LARGE <br />ON <br />DATE INSTALLED: OFF SUR TOTAL <br />CODE LABOR AND EQUIPMENT RENTAL HOURS RITE <br />TOTAL <br />REMARKS: <br />