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yup- )19- rs�y- 938 <br /> APPL. n CITY OF EVERETT SERVICE D <br /> ND' L �J !/�/f'q N_ 7938 <br /> APPLICATION FOR WATER SERVICE ORDER <br /> I3--f I X E D DATE��yLL�18— <br /> DEPOSIT S ���)L' TA PWING -�,-.Q�/ N o <br /> SERVICE (BY ADDR/[Rn 0 —IdL SLK.. -+�—LO—T_�ADD. <br /> OWNER _L�CI� CONTRACTOR <br /> INSTALL -PETERED.-SkRVICE <br /> I 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 •ICNED, <br /> MATERIALS k IN. 1 IN. , a IN. I PRICE AMOUNT <br /> PIPE COPPER•- GALV. ••STEEL —i'— <br /> _-- - �l----- — <br /> CORPORATION <br /> CURB COCK OT �— <br /> SERVICE BOX PLASTIC. - C 1 <br /> METER VALVE <br /> METER No. - -----_TYPE: _— <br /> METER BOX CONCRETE SMALL LARGE i -- <br /> -�T"" ON <br /> DATE INSTALLED: 1` �{ ;- `�✓ I (� OFF S(J�Wh� SUB TOTAL <br /> CODE 1 LABOR AND EOUIPMENf RENTAL HOURS RATE <br /> _ NO ACTION <br /> — - -- Will be taken on service <br /> — applications wittlout a <br /> — - Backflow-pTntifzonsuitation <br /> _ I <br /> TOTAL <br /> REMARKS: <br />