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NAP.OPL-7�7 CITY OF EVERETT SERVICE >\ro 6199 <br />ORDER <br />APPLICATION FOR WATER SERVICE //77 <br />DATE iZS1 S_ <br />0y FIXED W. <br />v0J_DEPOSIT � No.__---- <br />SERVICE (EYADDRpR)_—.ff,.-S�16A---- SLK._ LOT2LADD._ <br />OWNE �-_CONTRACTOR <br />FLAT <br />INSTAL ERE0 SERVICE -- <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING '�iCF--LJ�T/ ur uror&r,ro rMANrrO EIDN ED: X ----- <br />- - - - - <br />MATERIALS <br />A IN. <br />1 IN. 13 IN. <br />PRICE <br />AMOUNT <br />PIPE <br />COPPER •• GALV. -- STEEL <br />CORPORATION <br />— <br />- <br />CURB COCK <br />OT <br />SERVICE BOX <br />PLASTIC •- C 1 <br />I <br />METER VALVE <br />METER No. <br />METER BOX <br />___ <br />TYPE: <br />CONCRETE SMALL LARGE <br />—_ <br />--- <br />--- <br />---- <br />DATE INSTALLED: S jCf R17 <br />N <br />SUB TOTAL <br />C�I <br />LABOR AND EOUIPM ENf RENTAL <br />---- <br />HOURS <br />RATE <br />TOTAL <br />OWMARK5 <br />