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ADPL 2920 CITY OF EVERETT SO <br /> LHVICE N_ 7655 <br /> APPLICATION FOR WATER SERVICE ORDER <br /> ❑ FIXED 7 Q� -b- G �7 DATE <br /> �� DEPOSITS 105.00 �p POSTING_ ICLIM '/" �G �/3 <br /> W.D. _ <br /> SERVICE (w ADORKAHI) _BLK..__LOT�L—ADD.I ABROOK 3+ <br /> OWNER SELECT HOMES <br /> ___CONTRACTOR <br /> 3/4 FLAT <br /> INSTALL METERED SERVICE <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE �� --_-- <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING A/ <br /> OR AS SAME MAY BL HEREAFTER CHANGED ■IDNED /�`2/� <br /> MATERIALS K IN. 1 IN. i IN. I i PRICE AMOUNT <br /> PIPE _—COPPER - GALV.••STEEL__ —I <br /> CORPORATION I{—. <br /> CURB COCK OT `- <br /> SERVICE BOX — PLASTIC •• C 1 <br /> METER VALVE ' <br /> METER NO. --- <br /> METER BOX CONCRETE SMALL LARGE <br /> -- - - -- ---- <br /> i -i <br /> ON <br /> DAT[ INSTALLED. .-. I OFF SUB TOTAL <br /> CODE _— ���� /��}Tf�•'/.//n/ LABOR AND EOUVMENf RENTAL HOURS RATE <br /> --- - --- -- --- NO ACTION - --- <br /> -- SII be taken on hervice <br /> ,,,,plications with ut a <br /> — - <br /> BaCRI,vw — <br /> TOTAL <br /> REMARKS: <br />