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APP,L. " c CITY CFF EVERETT SERVICE <br />NO. ORDER NO. <br />APPLICATION FOR WATER S_'RVICE <br />FIXE% DAT41P�_IB� <br />d <br />DEPOTS 0'r,,,,/J >�l W.O. <br />W. <br />SERVIC ���� pEEv) A� "T� �/� BLK.-_ �LOT__.Q— <br />OWNER.Yri1l�' ' .__CONTRACTOR _ <br />INSTALL <br />I HEREBY <br />ORDINANC <br />OR AS S/ <br />ED BE <br />FOR THE USE OF WATER IN ACCORDANCE WITH THE �) n <br />POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />HEREAFTER CHANGED. sIGNEO:X <br />MATERIALS <br />'A IN. <br />I IN. I A 64. <br />1 <br />AMOUNT <br />PIPE �� �I* r COPPER •- GALA'. - STEEL <br />CORPO ll/ IZ,AZ T- .. , it <br />J .1 / <br />_L <br />_PRICE <br />CURB <br />OT ♦f/;' �. %A/riii -TjTG .. <br />, <br />SERVICE BOX •- C 1 <br />/ <br />_I <br />METER VALVE <br />METER No. <br />TYPE: <br />I SS <br />METER BOX <br />CONCRETE SMALL LARGE <br />DATE INSTALLED: 'Y /J_'7_ ;7,e <br />ON <br />OFF SUB TOTAL <br />CODE <br />LABOR AND EOUIPMEN'f RENTAL <br />HOURS <br />RATE <br />I <br />TOTAL <br />F.EMARKS:_ <br />y <br />