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No SERVICE <br />CIFY OI'•EVERETT SERVICE <br />APPLICATION FOR WATER SERVICE ORDER NO. <br />I] FIXED //// DATECf1B-wr�L/__ Ip7� <br />DEPOSIT s� W.O. <br />No. <br />/ 7 p <br />SERVICE Ie O RtA if /J d_ �J_ H - BLK.. _.--LOT. <br />OWNER_- CONTRACTOR____-. �• <br />INSTALLMETERED SERVICE___ <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. •IGNE D: X�� /-� �- C C S'%••+ <br />MATERIALS _I IN. v IN, _— PRICE AMOUNT <br />PIPE COPPER -- GALV. --STEEL <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX PLASTIC .- C I <br />METER VALVE - <br />METER No. ----- TYPE: - -_-- -- <br />METER BOX CONCRETE SMALL LARI, <br />G1 ON <br />DATE INSTALLED: I J i i I ,•❑l OFF SUB TOTAL <br />COOK I l LABOR AND EQUIPMENT RENTAL HOURS RATE <br />REMARKS: <br />