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No. • 20.SY� APPLICATION FOR SERVICE SERVICEN2 1255 <br />CITY OF EVERETT WATER DEPT. ORDER <br />® FIXED DATE March 25 „p_r <br />DEPOSITS 125.00 W. O <br />No <br />SERVICE (MY ADDRESS) 1029 - 84 t h ❑i_i<. _LOT_- ADD <br />OWNER CONTRACIOR Hillis Homes <br />FLAT <br />INSTALI 3 / 4 XIMATSRIEAXiRRYI(tFrY - <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH HE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISi,NG <br />OR AS SAME MAY BE HEREAFTER CHANGED. EIONEO: XL-m, C�+�'. <br />MATERIALS <br />WAN. <br />I IN._j <br />SIN, <br />I <br />PRICE <br />AMOUNT <br />PIPE COPPER <br />GALV. -STEEL <br />3/ <br />CORPORATION <br />t <br />CURB COC OT <br />I <br />SERVICE BOX ZCA5T(�C <br />.. C I <br />5 <br />METER VALVE `l <br />METER No, <br />TYPE: <br />METER BOX CONCRETE <br />SMALL LARGE <br />I <br />DATE INSTALLED: <br />y _2 70 <br />ON <br />�6FF <br />/1 /� <br />SUB TOTAL <br />COOS LABOR AND EOUIPMENT RENTAL <br />HOURS <br />RATE <br />I <br />�' <br />TOTAL <br />