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APPI�j �,y� ♦ / <br />No. G 7T �r r APPLICATION FOR SERVICE SERVICE ORDER No 2123 <br />CITY OF EVERETT WATER DEPT. <br />Q�FIXED DATE1 <br />j ❑ DEPOSIT S Z�S� �. W.O. <br />SERVICE (Br AooRGS) 3�V :�� BLK.SZ 1�LOT kll DD.�%I-Ll%� a% <br />Tom— <br />INSTAL�METERED SERVICE <br />—__— <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. SIGNED: X. I <br />MATERIAL! <br />PIPE OPP! •- GALV. - STEEL <br />'/, IN. <br />I IN. 12 Irq <br />O <br />PRICE <br />AMOUNT <br />I CORPORATION <br />/ <br />CURB COCK OT <br />SERVICE BOX- PLASTIC -- C I <br />I METER VALVE <br />[R <br />— <br />TM TM N . -P O /I TYPE: lfb!�— <br />M CONCRETE SMALL LARGE <br />I /DOO flit: ('n�Hro!/.r�{O•>. ar. <br />I <br />®.-ON <br />DATE INSTALLED: /� _ %f� <br />I OFF SUB TOTAL <br />CODE LABOR AND EQUIPMENT ENTAL HOURS <br />RATE <br />I TOTAL <br />REMARKS: <br />