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APPL. il�] �� I CITY OF EVERETT SERVICE <br />No. o-C � '�1 ORDER <br />� APPLICATION FOR WATER SERVICE ���� � <br />ta' FIXED DATE__ IB <br />�u._ � <br />� DEPOSIT s �� W. O. <br />No.__ <br />SERVICE fev woonees>�L �q 2 ��_BLK.__—LOl'�ADD.� ' ,LJV � <br />C'y�� !J � <br />OWNE � , � �" ,1 11� _CONTRACTOR � � <br />INSTAL � ,' ME7ERED SERVIGE_—`�� � � J� � � _ __ ___ _ <br />I HEREBY APPLY FOR TNE USE OF WATER IN ACCORDA�'CE WI7H THE ���" /f <br />ORDINANCES AND POLICIES OF 7HE WATER DEPAR7MEN7 NOW EXIS7ING ��C y�� /�'"�� /'� _. __ -- <br />OR AS SAME MAY BE HEREAF7ER CHANGED. 9IGNEG: J'��fl — C=1 <br />MMERIALS Yi IN. I IN. � 2 IN. i I PRICE � AMOUNT— <br />I�� <br />PIPE COPPER -- GALV. -- STEEL_ _— _�I_ � <br />CORPORATION I � <br />CURB COCK OT � I I <br />SERVICE BOX PLASTIC •• C 1 _ I�_ -- <br />METER VALVE <br />_—_— ___ —_ —_____. .— _ _-- — _ _ _ .__— —__ _.__ ___..__ ___— <br />AfETER No. 7YPE: I �5 I <br />__ _ . _ _ _._—_ I � _ � __-___ _-- ___— — <br />METER BOX GONCRETE _ SMALL LARGE_ _ _ I _ __ <br />-- _.. _ ' I <br />DATE INSTALLED: L l � Z��.I �S5 I I� OFF � L\r SUB TOTAL I <br />! <br />CODE I LApOR ANO EOUIPMENTRENTAL I MOURS RqT[ <br />_{--L_I —" _.. _'_.___— --' — —'_ __—.�I ._ �� <br />TOTAL <br />REMARKS: <br />