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APPL. <br />No. o265ST-1 CITY OF EVERETT S RVICE <br />APPLICATION FOR WATER SERVICE ORDER /5317 <br />El FIXED DATE__ 19 '? <br />DEPOSIT S "�Y <br />W. O. <br />No. /I `-,7 <br />SERVICE (BY woDR[BB7�ip Fl�n� f #� BLK.- LOT-#--L C/1�G <br />1 HEREBY APPLY FOR lWfSTjr OF WATER IN ACCORDANCE WITH THE ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY f HEREAFTFR rMAYr Fn <br />SIGNED: X <br />MATERIALS IA IN. I IN. 3 1N, <br />PRICE <br />AMOUNT <br />PIPE COPPER_- GALV. - STEEL <br />CORPORATION <br />—� <br />CURB COCK OT i <br />� <br />- <br />SERVICE BOX PLASTIC •- C 1 <br />METER VALVE <br />METERNo.No. TYPE: I H <br />METER BOX CONCRETE SMALL LARGE <br />N <br />DATEINSTALLED: Bj� OFF SUB TOTAL <br />1 �SLABOR <br />!� <br />CODE <br />AND EQUIPMENT RENTAL HOURS <br />RATE <br />TOTAL <br />w FEla wra. <br />