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I <br /> SERVICE �' <br /> AP���/ CITY OF EVERETT ORDER NO. �} �� � <br /> NO' APPLICATION FOR WATER SERVICE p <br /> DATE� /�--�5 O <br /> � FIXED � W. O. <br /> � OEPOSIT s� No.— <br /> GLV �BLK._ LOT�—ADD�� <br /> SERVICE (a NEes) D —��-� <br /> OV/N y GONTRACTOR <br /> ?� H L <br /> INSTALL..�SL--METERED SERVICF �— <br /> O UENANCES ANO POL IC ES OFETHE WA7ER UEPA TMEN7 NNOWwE%STING -V __ <br /> OR AS SAME MAY BE HEREAFTER CHANGED. <br /> BIGNED: X ,1�-� - - <br /> )i IN. t IN. � 2 IN. I PRICE AMOUNT <br /> MATERIALS ��-� � <br /> P�pE COPPER--GALV.--STEEL _ <br /> CORPORATION — <br /> CURB COCK OT — I — <br /> SERVICE BOX PLASTIC -- C I I � <br /> METER VALVE __ — I — ——-- <br /> METER No. __ TYPE' M — -- <br /> METER BOX CONCRETE SMALL LARGE __ ___ <br /> — I 1 <br /> _—� -- — � <br /> ——I — � <br /> —_I I I � <br /> � ON <br /> 8 _ �� _ C1 I I OFF SUB TOTAL <br /> DATEINSTALLED: �� ❑ -- 1 <br /> LABOR AND EOUIPMEN'� RENTAI I HOl1R5 f1ATE � � <br /> cooe � —�,J,,,! I ' ' '� <br /> --IVK <br /> � <: P:.j /'/I C 1 i'��' ' I 1 i <br /> i - v�• r�� - <br /> � �► �! " - <br /> —�� s� -��-- _ � -- - <br /> —� <br /> - i <br /> —i <br /> I TOTAL <br /> REMARKS: ----- <br />