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APPL. <br />No. CITY OF EVERETT SERVICE APPLICATION FOR WATER SERVICE ORDER iD 6258 <br />FIXED DATE�j/'1 � /DQ <br />1 <br />DEPOSITS / ! SD= W. O. <br />/ No, --- <br />SERVICE (BY ADDRESS) gIa�r% SLK._ LOT-CR—ADD. aDo7-6U-�� <br />OWNEI e� FLAT CONTRACTOR <br />3 <br />INSTAL RED SERVICE_ <br />1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NnW cricT�u.- r noAE <br />-••^� m� <br />PIPE <br />CORPORATION <br />CURB COCK <br />SERVICE BOX <br />METER VALVE <br />METER No. <br />METER BOX <br />oc ncneGrlSR CHAN(jED.--"_"""- <br />MATERIALS <br />COPPER -- GALV. •- STEEL <br />OT <br />PLASTIC •- C 1 <br />TYPE: <br />CONCRETE SMALL LARGE <br />SIGNED: X <br />IN. 1 IN. 1 2 IN. PRI�- <br />—I <br />I �- <br />-- <br />AMCUNT <br />IL <br />I <br />DATE INSTALLED: <br />CODE <br />ON <br />fJ' OFF <br />SUB TOTAL <br />I <br />LABOR AND ECUIPMEN'r RENTAL <br />HOURS <br />RATE <br />REMARKS: <br />TOTAL <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />RECEIVED <br />O <br />--vo <br />rim o <br />1 j <br />SERVICE Tr jO <br />1\ <br />L+ r� S O <br />O <br />ORDER <br />V G O <br />EVERETT. WASMINGT1 <br />LV <br />THE SUM OFF <br />3 -/1 <br />FOR •RC CONNECTION AT OLK LOT_�_AD <br />i+ <br />DOLFRARSI /fd CENTS <br />1. FIXED__S_((]_� I'- <br />2. WATER - <br />TAP PECEIVED 1 IA/i. A I 3• DEPOSIT. <br />iro. .BY I I /r/ f 6�r1 <br />