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No. L. oJCP CITY OF EVERETT SLHVICE <br /> APPLICATION FOR WATER SERVICE ORDER N' 8 1 6 O <br /> o EPO.IT . TO POSTING s� DATE__1�- <br /> �z�-93 ��ao 92� 10— <br /> W.O. <br /> p _ <br /> SERVICE 1 DOR!g <br /> / SLK.. LOT�AOD <br /> OWNER CONTRACTOR <br /> INSTALLJ TIERED SERVTCI__-_— <br /> I HEREBY APPLY FOR THE USE O ATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW, FEISTING <br /> OR AS SAME MAY RE HEREAFTER CHANGED. @IGNED: X <br /> MATERIAL@ w IN. I IN. 1 IN. <br /> PRIG[ AMOUNT <br /> PIPE _ COPPER••GALV.•• STEELL <br /> CORPORATION <br /> CURB COCK OT _ -- <br /> SERVICE BOX PLASTIC •• C I -- <br /> METER VALVE - <br /> --- <br /> METERNo. A0.37TYPE:Ne�'JLAG� Y --- <br /> . _---.I-.-.__— <br /> METER BOX CONCRETE - _SMALL LARGE <br /> G1 ON <br /> DATE INSTALLED: / � �G.y !a0' OFF SUB TOTAL <br /> CODE / LABOR AND EOUIPMENf RENTAL <br /> 11OURf RATE <br /> O <br /> NO AC]Iutu - <br /> TOTAL <br /> REMARKS: �7�Q Pfeftl on Consultation <br />