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No. I APPI.ICAlPON FOR SERVICE SERVICE N°. 2253 <br /> G ORDER <br /> CITY OF EVERETT WATER DEPT. <br /> i FIXED DATE —Ip <br /> DEPOSIT S �j . �I ��/O J W.O. <br /> SERVI•CE��calf <br /> �wooquSl BLK. LO'F wDDNEA�- <br /> OWNERS /JC17Tl LUrz Al <br /> � �� —CONTRACTOR <br /> u <br /> INSTALL. ET ED BER __ <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE / <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> L OR AS SAMc�=' <br /> E MAY BE HEREAFTER CHANGED. SIGNED:X � f/ /- <br /> - <br /> MATERIALS YI IN. 1 IN. I E IN. I PRICE AMOUNT <br /> PIPE COPPE11 GALV.-STEEL I _.--_ <br /> I CORPORATION I } _f4—f <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC -- C I <br /> METER VALVE <br /> METER No. TYPE: TERSE <br /> METER BOX CONCRETE ' BMALL LARGE / <br /> p� s,Ir,t At - -- <br /> I QlOOd, C'oLA4/k — <br /> XAND — <br /> 1 _ I <br /> I - - <br /> ON <br /> DATE INSTALLED: /•_�� / I El OFF SUB TOTAL <br /> CODE (/ LABOR AND EQUIPMENT RENTAL HOURS RATE <br /> ANI <br /> Ce G,'s� --I -- -- <br /> I <br /> / r I <br /> ��rr � — -- 17G <br /> I-- I <br /> TOTAL <br /> I <br /> 1 <br /> I <br />