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m� <br />Om� <br />9 H fn <br />H <br />k n <br />H FA <br />xx N H <br />h7 0 <br />Hl7 <br />OH <br />N@8 <br />ZH <br />CA H <br />gy <br />Cgg]l7 CO <br />til � Cjl <br />13 0 C4 <br />� L, <br />No. 3c� S CITY OF EVERETT SERVICE N0— - 7096 <br />No. APPLICATION FOR WATER SERVICE ORDER <br />❑ FIXED to DATES- 30 _19 fo <br />DEPOSITf�-0 POSTING 6- , 41 (7SGo- N °' <br />SERVICE (BY ADDRfIq �/O `� --� All ez, CJ BLK._ LOT ADD. <br />OWNER —CONTRACTOR I <br />INSTAL METERED SERA VI�- <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING_ <br />OR AS SAME MAY BE HEREAFTER CHANGED. 910NED: 7XX("C <br />MATERIALS <br />% IN. <br />I IN. I i IN. <br />PRICE <br />AMOUNT <br />PIPE <br />COPPER -- GALV. -- STEEL <br />—Ij— <br />CORPORATION <br />CURB COCK <br />OT <br />SERVICE BOX <br />PLASTIC •• C I <br />METER VALVE <br />METER No. g' <br />Z -7 _ TYPE: <br />METER BOX <br />CONCRETE SMALL LARGE <br />I <br />I <br />DATE INSTALLED: "? 31 �[ , <br />ON <br />ET' <br />❑ OFF <br />SUB TOTAL <br />CODE <br />LABOR AND EOUIPMENf RENTAL <br />HOURS <br />RATE <br />(iO ACTION <br />SakPn on service <br />—_ <br />I <br />— <br />anntications without tatlea-- <br />Backflow PrevenTionZ%D�t'i <br />---- <br />--- <br />TOTAL <br />REMARKS: <br />