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CITY OF EVERETT BFRVICE <br />APPLICATION FOR WATER SERVICE ORDER NO. <br />FIXED <br />DEPOSITS W.O. <br />SERVICE IRv AGDR[Eq- T'' /s %/�`T d I� /Js7`"BLK.LOT_ ADCp����� <br />�i� <br />OWNER .�.7� —_.CONTRACTOR.— <br />INSTALMETERED SEUIRM________.,— <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE _ <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING '�c <br />OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED: % / { E� _ _ �F"--.- i •�_- <br />MATERIALS <br />K IN. 1 IN. ] IN. �'� <br />PRICE <br />AMOUNT <br />PIPE COPPER -- GALV. ---STEEL <br />--_ _— <br />— <br />CORPORATION <br />- ---- <br />CURB COCK OT <br />SERVICE BOX PLASTIC •- C I <br />METER VALVE <br />METER No. �/J q TVPE'NF1jSL�/ �o�}•��a <br />�y,U_. <br />-- <br />_. <br />METER BOX CONCRETE SMALL LARGE <br />ON <br />DATE INSTALLED: � / I � OFF SUB TOTAL <br />COOS LABOP AND EOU IPM EN RENTAL'%/ HOURS RATC <br />TOTAL <br />0 REMARKS. <br />