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� <br /> No. pb O CITY OF EVERETT StHVICL <br /> No C.!/ ORDER O <br /> PPL CATION FOR WATER RVICE N- 80 16 <br /> FIXED _ t0 bOSTING -2q/.� DATE p _IB9 <br /> DEPOSITS /OS W.O. <br /> N,ro'�i�� _ <br /> SERVICE rAoopu/I S--L//—L„l�� SW BLK.__.__LOT---L_ADD. <br /> OWNEt•� T �7 CONTRACTOR <br /> 13 T <br /> INSTAL _METERED SE VICE__ <br /> 1 HEREBY APPLY FOR WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED sIGNED: X <br /> MATERIAL/ uM IN. 1 IN. A IN. I—�{I•� PpICE AMOUNT -- <br /> PIPE COPPER•• GALV, --STEEL -- I <br /> CORPORATION <br /> CUFB COCK OT i -- --- <br /> SERVICE BOX PLASTIC •• C I I ` <br /> METER VALVE L/ <br /> METER No. LKT�—___ _.._TY—PEf/JGN•_£ <br /> METER BOX CONCRETE SMALL LARGE <br /> DATE INSTALLED: �/— �y I n OFF SUB TOTAL <br /> :ODE LABOR ANO EOUIPMEN/RENTAL IHOUR/ AAT[ <br /> -- <br /> Rackflow PrevenU•,n Consultatio <br /> TOTAL <br /> REMARKS: <br />