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A7No7'!;?4 CITY OF 'EVERETT SEIVICE <br /> APPLICATION FOR WATER SERVICE ORDER NO. <br /> n FIXED DAT 1 <br /> El DEPOSITS ���. W. . - <br /> No._ <br /> SERVICE (BY ADORE$ —�3y.ty� LK.. ___- _LOT_lW_ADD. <br /> OWNER_l/ _ �/-- _ _CONTRACTOR — <br /> INSTAL TERED SERVICE--- <br /> HEREBY <br /> ERVICE--HEREBY Y FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES <br /> AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. GIGNED: X <br /> MATERIALS Y.IN.I 1 IN. IN. PRICE AMOUNT <br /> PIPE ((S IG COPPER--GALV.-STEEL__ <br /> CORPORATION <br /> CURB COCK OT <br /> SERVICE BOX _ PLASTIC C I J <br /> METER VALVE <br /> METER No. _ TYrC - -�- -- -- — <br /> METER BOX CONCRETE n n I I ;.k"I <br /> Y L�FN•c I i - .- <br /> I.So <br /> / ^1 vt ON <br /> DATE INSTALLED: �/ ? C� I OFF SUB TOTAL <br /> CODE LABOR AND EOUIPMENI RENTAL HOURS RATE <br /> I_�'ARZ S <br /> —�_61� x S_ <br /> TOTAL <br /> REMARKS: <br /> �S-�j U i.-I f--�—�.re l�.l.� SC✓✓ I C i <br /> arntwGle✓re I e be b�vlt7�ere . La-14 4e7'bvu1-• w;Hare he D(d Ser✓)cc A.d.„ 7Frp <br />