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No L. (�iD (OS CITY OF EVERETT SERVICE �rs> / <br />APPLICATION FOR WATER SERVICE ORDER <br />�I N1 5 3 6 8 <br />FIXED � DATE-F/ l f , / 4 <br />... ""'TTT"'___ <br />DEPOSIT S <br />W. O. <br />SERVICE (BTADDRpB)�L/ cro_�1 <br />l _�V BLK._ LOT VADDN,./e N6lzk <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. •IGNED:X <br />MAT <br />PIPE <br />TRIALS <br />COPPER -- GALV. -- STEEL di <br />% IN. <br />fil�Nk: <br />t IN. 1 2 IN. <br />IJ_ <br />PRICE <br />AMOUNT <br />CORPORATION <br />- <br />—�� <br />CURB COCK <br />OT <br />— <br />SERVICE BOX <br />PLASTIC -• C I <br />METER VALVE <br />" <br />METER NO. <br />TYPE: <br />I 4 <br />METER BOX <br />CONCRETE SMALL LARGE <br />DATE INSTALLED: <br />Lj/J )'��%'7 <br />ON <br />1 K OFF <br />SUB TOTAL <br />CODE <br />LAB/OR AND EQU1PMEN r RRENTALq�...s� <br />HOURS <br />RATE <br />TOTAL <br />