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No�� ��� <br />� � FIXED <br />' �/b^cPO51T 5 �j�'_!¢ <br />�' 7��C <br />� SERVICE (er ADD�ese)-- <br />' OWNER ✓`–'�_�—�LY� <br />�� �/ t -TL'7iT� <br />� INSTALL�--METERED S <br />APPLICATION fOR SERVICE ORDERG N� 2140 <br />CITY OF EVERETT WATER �EP7. ,Z�� ___,a-z!c <br />DATE <br />W. O. <br />NO.____'— _ <br />���TI�C�J CUIJL�BLK. L0T�3 ADD/�✓'�J—�C-V� <br />a� <br />i I HEflE6Y APPLY FOR TNE USE OF WA7CR IN ACCORDANCE \41TH THE <br />ORDINANCfS AND POLICIES OF TNE WATEH DEPARTMENT N017 E%ISTING BIGNED:X..���`='� — <br />� OR AS SAME MP.1' UE HEREAF7ER CHANGED. <br />i u�rroie� c I� Itl.l 1 IN. � 2 IN. � i I.. I PRICE I AMOUNT <br />� PIPE cOPPEhf -- GH�v..• a � c�� <br />�� CORPORATION <br />� CURB COCK OT <br />� SERVICE BOY-� PLASTIC -• C I <br />METER VALVE _ <br />; METER No. TYPE: _ I '�b <br />� METER DOX GONCRETE SMALL LARGE <br />' (%) t/ "/Nur' r—i .c�i 1i cw� <br />f� %'J.'� X �I � if N1�%�V L- S LcG�F- �" L'ZZ l`'� <br />I � H" Rv�3ClFi" GN>if`Y' <br />� '�%4R Z�iy' S:F_.ELl3c�:S - <br />�� SiT'%G �TS — <br />y.� � �. -c��nr�.��5 <br />, 1 �"X Ib'`' cJ,Y'�lLV� X3cr h'-,t7f',.-r-f/ti� <br />�--�-- � oN <br />� DATE INSTALLED: ,–/�' 7(� I � OFF <br />I <br />� GODE I LAOOH ANO EQl11PMENf R[NTAL <br />C <br />REMARKS: <br />zl <br />c3 <br />SUB T07AL <br />NOUPS { HAT[ <br />� � I <br />TOTAL <br />