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2&5(0 CITY OF EVERETT SERV <br /> No. ICE NO 7344 <br /> No. <br /> APPLICATION FOR WATER SERVICE ORDER <br /> TO POSTING. Y l DATE <br /> . CEPOSIT s lL - W. O. <br /> Hop._ / ,,_/� �_J,' <br /> SERVICE\,([r�(ADO/RES@,J_ /�/-- !//[1,�i P��S� 8LK..__LOT._L!_AC)q/l .C�.IL'L�iPJA[„( <br /> OWNER__11JL�I��Ai �/G� W_4.2 CONTRACTOR <br /> -_ _�7 <br /> INSTALL ETERED SERVI <br /> I HEREBY APPLY FOR TH 'WATER IN ACCORDANCE WITH THE <br /> ORDINANCES SAME <br /> AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> ASS <br /> OR E MAY O HEREAFTER CHANGED. nuHED: X <br /> MATERIALS _ I YI IN. 1 IN.1 [ IN. ( PRICE AMOUNT <br /> PIPE COPPER-•GALV.-,:TPEL _I <br /> CORPORATION <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC -• C I <br /> METER VALVE <br /> METER No. <br /> --_ TYPE: <br /> METER BOX _ CONCRETE SMALL LARGE <br /> _I <br /> 'LL I <br /> DATE INSTALLED /� ,J� ' S/ ON <br /> ❑ OFF SUB TOTAL <br /> COD[ LABOR AND EOUPMEN F RENTAL HOURS RATE <br /> __ --___ 11_ I I ` : 1.•... L.J�V11 <br /> TOTAL <br /> REMARKS: <br /> E7 1-• Ina o CD _K 'D CO Y IC O .a <br />