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No. / CITY OF EVERETT ORDER <br />0- B 1 OQ <br />No. �%u 7SQ ORDER I <br />4 /V ! APPLICATION FOR WADER SERVICE <br />jJ n ^ <br />IXED <br />a DEPOSITS Pn cTI1�14 I�-/'1�"�L ,{-i dS- W. O,DATE—F�l�/Crq ,9 <br />SERVICE tar A DRun—__f �L1�.-- - —i�J-i --{{-- ELK.. LOT ADO.J.t iA <br />1 FKAT <br />INSTAL 3 ERED SE ICE <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE 4---4at <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING—OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED:LLLAAA _[n, <br />MATERIALS <br />W IN. <br />I IN, 3 IN. <br />IkRICE <br />AMOUNT <br />PIPE <br />COPPER -- GALV. -- STEEL <br />i <br />CORPORATION <br />CURB COCK <br />OT <br />SERVICE BOX <br />PLASTIC -- C I <br />METER VALVE <br />METER NO. //)� _ TYPE_ <br />METER BOX CONCRETE SMALL LARGE <br />--- <br />DATF. INSTALLED:`�/� <br />Gj� <br />f/ �a <br />ON <br />I OFF <br />SUB TOTAL <br />CODE <br />LABOR AND EOUIPMENf RENTAL <br />HOURS <br />RATE <br />— <br />---- <br />--- - --- -- - - — - ryp 7CCTfi1N <br />- Wllr a taken on RervlQa <br />98M PPiicatioastivlthD[it�— <br />TOTAL <br />REMARKS: <br />