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/ SERVICE <br />APPL 7l-+ G!?`' OF EVERETT ORDER N0.- <br />NO. APPLICATION FOR WATER SERVICE <br />DATE_ --i�-� <br />LZI,PIXED W.O. <br />DEPOSIT S l�D- 2 No.. <br />�f�—BLK.. LOT_. ADD. -- - - <br />tlERVI,:E I.er ADDRESS) <br />CONTRACTOR <br />LIN <br />T—_--- <br />11 FLAT- ----- <br />LLJ -----METERED SERVICE—/ <br />ITH THE <br />OF WATER IN ACCORDAN <br />SP AND POPLY LICES OFTHE ETHE WATER DEPARTMENT NOWWE%S ING SIGNED: X <br />SAME MAY BE HEREAFTER CHANGED. i�l PE E AMOUN <br />A IN. 1 IN - <br />MATERIALS E N <br />COPPER .. GALV. - STEEL <br />PIPE <br />CORPORATION �_�---- <br />CURB COCK OT <br />SERVICE BOX PLASTIC - C I <br />METER VALVE - — <br />METER No. _ TYPE: <br />L SQL--- --- - <br />METER BOX CONCRETE SMALL LARGE <br />DATE INSTALLED: <br />CODE <br />REMARKS: <br />%v ON <br />'L1 ci OFF <br />LABOR AND EQUIPMENT RENTAL <br />SUB TOTAL <br />HOURS RATE <br />