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APPL. ���y^r CITY OF EVERETT SERVICE <br />No, V��!!/ qppLICATION FOR WATER SERVICE ORDER nlp 5866 <br />IV <br />DATE.—_��.—_10�- <br />� FIXED <br />� DEPOSIT s n p�w ry O. _— __ <br />SERVICE (eY woDnEes)—.—I `� �-I-.1—�L{.I—l-L/l�-�1=----BLK.. LOT ' � ADD._ts{/�q_[_¢C('IjSJ%- <br />OWNER ��CU� --. _—CUNTRACTOR _ ___-_—_— <br />FLA <br />INSTALL 3�� RED SERVICE_ CDC�C __ -- t --.-- ----- <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCOR�ANCE WITH THE \ •� � /�� '�0 <br />OPDINANCES AND POLICIES OF THE \VATER OEPARTMENT NOW E%ISTIYG /\ yl. .,.�1 <br />OR �5 SAME MAY BE HEREAFTER CHANGED. elcnEo:% �! �J �[� __ __ 1 «� -_ <br />MATEPIAL6 � IN. IIN.i31N.� I PNICE I{ �AMOUNT <br />PIPE COPPER•-GALV._STEEL __�I I__ � _���_ �I I <br />h— 1-"�-_ <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX PLAS7IC •• C I <br />METER VALVE <br />__ _____"_____. _ __ _' .__'__ <br />METER No. TYPE: I ' <br />METER BOX GONCRETE SMALL LARGE <br />�i ON <br />DATE INSTALLED: y�v S'� �� OFF <br />COOE I LADORAN�EOUIPMENfRENTAL <br />�, ��_31a�L�! -- - <br />--�'--- --- -- -- — <br />� --- - - ----- <br />REMARKS: <br />SUB TOTAL <br />HOURS I RAT[ <br />TOTAL <br />