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t H Z <br />H H <br />A C N <br />3 M ti <br />H O N <br />MVAM�� <br />SERVICE <br />APPL <br />CITY OF EVERETT ORDER <br />NO. APPLICATION FOR WATER SERVICE 0 A0& <br />DATE— 1B <br />FIXED <br />1]IVuDEPOSIT <br />.`2�_ <br />SERVICE Ury AD BLK.- LOT__.8 _ADD. <br />OWNE: CONTRACTOR -- <br />INSTAL SERVICE -- <br />1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />rDCA[TrR rUANOFD SIGNED:: <br />.... ... ...... <br />MATERIALS <br />U IN. <br />I IN. 1 2 1N. I <br />PRICE <br />AMOUNT <br />CORPORATION <br />- <br />CURB COCK OT— <br />SERVICE BOX PLASTIC •• C I <br />I <br />__ <br />METER VALVE— <br />METM7 NO. TYPE: <br />��''.�� <br />METER BOX F6MCRETE�L LARGE --- <br />_— <br />&P�lf - 3 <br />cd <br />— <br />-- <br />-- <br />- <br />I <br />_ <br />DATE INSTALLED: /�(�( zq- <br />1y-'YYLI , <br />( OFF ` \1'\'(�•� SUB TOTAL <br />CODE I��1 LABOR AND EQUIPMENT RENTAL <br />-���-yn 1 HOURS <br />RATE <br />4,3 <br />-- TOTAL <br />REMARKS: <br />