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No. � C13-Y OF•EVERETT SERVICE 7 /� C <br />APPLICATION FOR WATER SERVICE ORDER NO./ 3645 <br />FIXED DATE_ (-__IS_W <br />D <br />C� DCPOSIT S A3 S_ W.O. <br />No.__ <br />SERVICE (BY DRESS)_J _ � _ 9LK.-�_OT--��f/� <br />O W N E _CONTRACTOR_ <br />INSTAL ETERED SERVICE_ <br />I HEREBY A. PLY FOR THE USE OF WA-tR IN ACCORDANCE WIT , THE <br />ORDINANCES AND POLICIES OF THE W,IER DEPARTMENT NnW EXISTING <br />OR AS SAME MAY BE HEREAFTER CP.A.,SED <br />SIGNED: X <br />I IIIII. A <br />PIPC _ <br />^ ^^L• 14 IN. <br />COPPER - OAI �_- STEEL <br />i 1 IN. <br />PRICE AMCU <br />MT <br />CORPORATION <br />/74 <br />. <br />CURB COCK <br />OT <br />SERVICE BOX <br />PLASTIC • C I <br />METER VALVE <br />v[� <br />T <br />METER No.� TYPE: <br />I{ <br />METER BOX <br />CONCRETEPQSS SMALL ARGE <br />I <br />_ <br />DATE INSTALLED: <br />`� _ z&l _o-� <br />I rI OFF SUB TOTAL <br />CODE <br />LABOR AND EOUIPMEN f RENTAL <br />HOURS <br />RATE <br />� <br />^ <br />�D T I S-1SIL <br />I <br />TOTAL <br />REMARKS: <br />