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2533 <br /> 22 <br /> r I APPiF. 4 '7" CITY OF EVERETT SERVICE N0 7 3 0 6 <br /> APPLICATION FOR WATER SERVICE ORDER�/F`IXED DATE ).1. 1991 <br /> / <br /> • _ <br /> DEPQSIT s l /� W.O. <br /> No. <br /> / 2/ ( .. ',/ <br /> SERVICE (eYADDRE38) m�-L�' BLK._- LOT AD <br /> R ./ • aund r-- <br /> OWNE CONTRACTOR <br /> // FLAT ti <br /> INSTALL ��� l2ED SERVIC <br /> I HEREBY APPLY FOR T e UJt OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED: <br /> MATERIALS - Yi IN. I IN. I N. - PRICE . - AMOUNT <br /> PIPE COPPER--GALV.--STEEL <br /> CORPORATION <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC -- C I <br /> METER VALVE <br /> 1 1V/,n!1 -- - <br /> METER No. O� 73 TYPE: M <br /> METER BOX CONCRETE SMALL LARGE <br /> I I 1 <br /> 410 _, <br /> DATE INSTALLED: r-- i I FF SUB TOTAL <br /> CODE I LABOR AND EQUIPMENT RENTAL HOURS. RATE <br /> Will be taken Qfl e.aavaeit+s�_ — <br /> applications without <br /> tw Pevel .ion H <br /> I I - <br /> TOTAL <br /> REMARKS: /"e Gie 0-'v''-- <br />