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0 <br />No. � v <br />FIXED <br />El i <br />DEPOSIT S_4L_S0_ <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />SERVICE O '+Q <br />ORDER N_ 67 v <br />DATE___ / %v- --19f4L- <br />W. O. <br />No. — <br />SERVICE (SY w DRE9I/r )' BLK._ LOT A ADD <br />OWNERCONTRACTOR <br />INSTAL 3 AtEi�RED SERVICE -- <br />I 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. SIGNED: X <br />PIPE <br />U <br />MATERIALS <br />COPPER -- GALV. -- STEEL <br />YI IN. <br />1 IN. 12 IN. <br />PR CE <br />AMOUNT <br />SERVICE BOX BOX <br />PLASTIC -- C I <br />I <br />METER VALVE <br />--_— <br />METER No. TYPE: <br />METER BOX CONCRETE SMALL LARGE <br />wu�JP�/3J( ) <br />i)� <br />,:54 <br />ON <br />DATE INSTALLED: 05 -z/ -90 I ❑ OFF <br />GJ�c <br />SUB TOTAL <br />CODE I <br />LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />l <br />CC O paJwO <br />d <br />TOTAL <br />REMARKS: <br />