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N <br />f �s <br />7 � _ <br />APPL. a�,3gQ CITY OF EVERETT SERVICE <br />No. • •APPLICATION FOR WATER SERVICE ORDER rho 5157 <br />FIXED DATE - <br />DEPOSIT W. O. <br />W / No. <br />I, SERVICE (BY ADDRESS) SE i/Pntl BLK.- LOT ADD. <br />/1 J Al. . , 4 _ I <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCOP.DANCE WITH THE <br />ORDINANCES AND .POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. SIG14ED:X <br />MATERIALS <br />PIPE COPPER -• GALV. -STEEL <br />Si IN. <br />1 IN. <br />2 IN. <br />PR <br />AMOUNT <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX PLASTIC -- C I <br />METER VALVE <br />I <br />METER No. -7 q 71 TYPE: <br />I SS <br />METER BOX CONCRETE SMALL LARGE <br />I <br />_ <br />I <br />I <br />DATE INSTALLED: �t <br />❑ ON <br />OFF <br />SUB TOTAL <br />CODE LABOR AND EQUIPMEN' <br />RENTAL <br />HOURS <br />RATE <br />I <br />i_o r-cl,aG <br />I <br />I <br />TOTAL <br />REMARKS: <br />