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IO� dC <br /> [HIM <br /> 1•C 0 <br /> H w <br /> Otl H 'O <br /> x0H <br /> [T7 O <br /> O I-I <br /> Nton8 <br /> Q. 0 <br /> z HND <br /> SERVICE <br /> APPL. �.00 CITY OF EVERETT ORDER IV 6826 <br /> H H <br /> No. cy .JJ7 APPLICATION FOR WATER SERVICE <br /> OJ T/1 N DATE rSt- <br /> 0017 SC�A++ Td FIXED <br /> j m [EI ci DEPOSIT 5p <br /> H EA <br /> H O EA SERVICE IRvADD1 IR vYuq.,I EILK. 1. T A <br /> OWNER____Ry -3UU—'3a <br /> CONTRACTOR <br /> INSTALL_._--- ETERE ,SERVICE— <br /> HEREBY <br /> ERVIC ----- <br /> N ACCORDANCE <br /> ITH THE <br /> OROSNANCESP AND POPLY L(CIES OFEIHE WATER OF WATER DEPARTMENT NOWWEXISTING _ <br /> OR AS SAME MAY BE HEREAFTER CHANGED SIGNED: X —__------ --- - -- <br /> MATERIALS IS IN. I IN.I a IN. i�1� PRICE AMOUNT <br /> PIPE COPPER• GALV.••STEEL -- <br /> CORPORATION _ - — <br /> _ <br /> CURB COCK OT —_�—___— --i—I— -- -- <br /> SERVICE BOX PLASTIC •- CI I -- -----'-"'-- <br /> C <br /> METER VALVE <br /> TYPE: v � <br /> i METER No. - - _ <br /> I METER BOX CONCRETE SMALL LARGE <br /> __ ____131Lhfl013Pst•N?:N•�I-F;{+PSSr1ft�XJT _---.— <br /> I A_ <br /> ON <br /> !J1 DATE INSTALLED: /': I OFF SUB TOTAL <br /> COD[ ��[;�'�-•-J-�f79 ) HOURS RATE <br /> LABOR AND EOUIPMENI RENTAL <br /> I I_ <br /> 0011%RIBS, <br /> \ TOTAL <br /> RLMARKS .G •- <br />