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No. � G' d/ i <br />No. O / <br />CITY OF EVERETT SERVICE ORDER NIV 7253 <br />APPLICATION FOR WATER SERVICE <br />FIXED DATE Sag _1991 <br />El Q� <br />DEPOSITS 1/1 .0 POSTING W. <br />�- �'U`'U No O. <br />SERVICE ceY ADDREee> %Q �O YT . BLK._ LOT ADD. <br />/h9i✓ <br />OWNER C1 ry OF / d�fLE tT Li ". )_CONTRACTOR <br />/ FLAT <br />INSTALI (O f'S METERED 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. RIGNED: X <br />MATERIALS <br />PIPE COPPER -- GALV. -. STEEL <br />CORPORATION <br />V. IN. <br />I IN. 3 IN. <br />I <br />PRICE <br />AMOUNT <br />CURB COCK OT <br />SERVICE BOX PLASTIC -- C I <br />METER VALVE <br />_ METER No. a,3 77 <br />METER BOX CONCRETE <br />TYPE: 041010A- 1 >f <br />SMALL LARGE <br />1 <br />I <br />I <br />I <br />CA TE INSTALLED <br />ON <br />❑ OFF <br />SUB TOTAL <br />CODE <br />LABOR AND EDUIPMENf RENTAL <br />HOURS <br />RATE <br />_ 977y/�� <br />' y.1N._.• <br />_ <br />1 <br />" <br />- — <br />Wpll to taken on <br />Servtee� — <br />--- <br />_ cktlow <br />— ke34t�t59 Witfi�-Br <br />PreventiDn <br />CcnButt�-e <br />I <br />TOTAL <br />REMARKS: <br />