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NOPPL. p, /i GjLfsv CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />ORDERS O <br />_ 5214 <br />DATE_- 194 <br />FIXED <br />�/1� <br />/" �ii -Z li' ;` <br />/i <br />W.O. <br />Ei . <br />DEPOSIT �._L <br />�[,� 5 BLK.- <br />LOT_.O�) A/D�D. Ea l ✓I AJ <br />SERVICE (BY --.-J�-_7 <br />�AD_DRIE 110- <br />��.-�, <br />OWNER_. S K7�"fj`tS-LV11.� <br />j <br />/ 1 I� CONTRACTOR- (r21.J' — <br />FLAT <br />INSTALI _METERED SERVICE— <br />---- <br />-- <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. <br />SIGNED:% <br />--------- <br />MATERIALS <br />K IN. <br />1 IN. E IN. <br />_I <br />PRICE <br />AMOUNT <br />PIPE <br />CG PPER -- GALV. - STEEL <br />CORPORATION <br />_ <br />CURB COCK <br />OT <br />— <br />I <br />SERVICE SOA <br />PLASTIC -- C I <br />I_ <br />, <br />METER VALVE_ <br />-- <br />METER NO. 75 _ TYPE: rrtGISIM I �I <br />METER BOX CONCRETE SMALL LARGE <br />-- <br />I <br />— <br />— <br />I <br />DATE INSTALLED: <br />/Q +�-� <br />ON <br />OFF <br />I] <br />SLID TOTAL <br />COOK I <br />LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />I <br />TOTAL <br />REMARKS: <br />