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TO POSTING a <br /> No. nY&I7 CITY OF EVERETT BERvlcE No 7396 <br /> No. o <br /> APPLICATION FOR WATER SERVICE ORDER <br /> ,,nn p� <br /> FIXED DATE AP —1S.lL <br /> Ej DEPOSITS I f <br /> � i7�53 NW <br /> -3 NoO,.— <br /> SERVICE Iw/A DRl:nl / SC SLK. LOT_5,-7_ADD. <br /> OWNER_ ��D �HC'� CONTRACTOR <br /> 3 r <br /> FLAT' <br /> INSTAL ETERED_ RVICE' <br /> 1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED SIaNED: X <br /> MATERIAL{ A IN.I I IN. I l IN.L I PRIG AMOUNT <br /> PIPE COPPER-DALV.-STEEL <br /> CORPORATION <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC •- C 1 <br /> METER VALVE - <br /> - <br /> METER No. <br /> -2.7P-9) <br /> -----�T'1�N_Y I-✓1 -- -- ---- — <br /> METER BOX CONCRETE _ SMALL LARGE <br /> ON <br /> DATE INSTALLED' 1_ 37- OFF SUb TOTAL <br /> COOK I LABOR AND EOUIPWISNf AENTAL HOURS RATE <br /> MPF PA <br /> I --- -- ----wlfz---iron—on —I— --- <br /> 1'�chflcr+ PreventiolT ConCon4ul1RUN11 <br /> I <br /> — I� — — � — — <br /> TOTAL <br /> REMARKS: ;),p4 - <br />