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A��LICATION FOR SERVICE SERVICE N� Z135 <br />ORDER <br />CITY OF EVERETI' WATER DEPT. <br />v�FIXED DATE � Z—�-----19_ �' <br />W. O. <br />� DEPO8IT S �iO. O No._—._---. <br />9ERVICE (er wooRut) ���" �¢ � ��G� " � BLK._4_—LOT_i ADD[.7��L.�/1_� �� <br />� OWNEr+��� �U 'ns �L' SEa/L� CONTRAGTOR — <br />� INSTAL� 3%lw - M�ERED SERVIGF � -- —/I— <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITX THE / <br />� ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%IS71Nf, ��`.�..��.�� ��;�t`�i <br />OR AS S�ME MAY BE HERE�FTER CH�NGED. sicNEo:X. — <br />MM6RI�Lf L1G IN.I 1 IN. � 3 IN. � I I I Pp�CE � AMOUNT <br />i <br />PIPE <br />I CORPORATION <br />� CURO COCK OT <br />� SERVICE BOX <br />METER VALVE <br />METER No. SGG <br />METER BOX CO <br />ALV. •• STEEL <br />PLASTIC •• C 1 <br />r <br />�--I--� <br />LARGE <br />/ � ON <br />OATE INSTAI.LED: Z� -/�' %6 � OFF <br />CODE � LABOR AND EOUIPMENT RENTAL <br />_ �'t_��- - <br />�3- ---- ---- <br />REMARKS: � � <br />n <br />— —___—���L —��— �'�G_ � __— _ <br />SUB TOTAL <br />HOURSI RATE <br />2 <br />TOTAL <br />0 <br />