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No. (ISSN CITY OF EVERETT SERVICE <br />APPLICATION FOR WATER SERVICE ORDER No 319 <br />1d FIXED DATE LZ18la <br />�O DEPOSIT S r% _ W. O. <br />SERVICE (By ADDRL.S) .5IrW 814 a1, rN/4 Sf '(�//./////J ARLK._ LOT__ADD.f "Zd-4 <br />/r <br />OWNER [ .C}' a@ t��` /,[� CONTRACTOR <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 HERL FTER CHANGED. SIGNED: X. <br />Mn]eNN\L6 <br />IN. <br />1 IN. 12 IN. <br />PRICE <br />AMOUNT <br />PIPE COPPER -• GALV. -- STEEL <br />CORPORATION <br />CURB COCK OT <br />I <br />- <br />SERVICE BOX PLASTIC -- C I <br />METER VALVE <br />METER No. TYPE: <br />METER BOX CONCRETE SMALL LARGE <br />_ <br />I <br />!Now <br />DATE INSTALLED: I <br />i <br />h�( ON <br />I Y[]OFF SUB TOTAL <br />CODE LABOR AND EQUIPMEN( REENNTAALLn <br />HOURS <br />RATE <br />TOTAL <br />REMARKS: <br />