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No. `a 117 CITY OF EVERETT SSRVICK No 7 U 1 8 <br /> APPLICATION FOR WATER SERVICE ORDER qq <br /> Ej FIXED OG DATE1�—IS VO <br /> DEPOSITS _ G O , W.O. <br /> SERVICE I[Y AoDIIESSr w �— [' �� S'f BLK.. LOT lj Z ADD <br /> OWNS ""± v CONTRACTOR <br /> 3 LAT 't C <br /> INSTAL ER ED SERVIC 7J <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. SIONEO: X <br /> MATERIALS <br /> 1G IN. 1 IN. SIN. I ►RIC[ AMOUNT <br /> PIPE COPPER GALV.-STEEL <br /> CORPORATION _ _ -- <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC -- C 1 <br /> METER VALVE <br /> METER No. _ TYPE: 4 -- <br /> METER BOX CONCRETE_ - SMALL LARGE <br /> 6 - N <br /> DATE INSTALLED: 7 ;1 I� OFF SUB TOTAL <br /> CODE LABOR ANDEQU1PMENr RENTAL NOUR[ RATE <br /> I <br /> i <br /> TOTAL IF I <br /> REMARKS; <br />