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APPL. �] (� CITY OF EVERETT � <br />No. 6 71 G AePLICATION FOR WATER SERVICE 3�89 <br />V,,7 FIXLD <br />DEPOSIT E (no 112" <br />SERVICE ISY ADDR[m— ---W <br />INSTALI--� ETERED i1ERVI <br />I HEREBY APPLY FOR THE USE or WATE <br />ORDINANCES AND POLICIES OF THE WATE' <br />uw er ."rArTLU ruANC1 <br />IN <br />SERVICE ORDER NO 5934 <br />p <br />DATE 'V_�(/d-r��1BQC1- <br />W. O. <br />No. ---- <br />CONTRACTOR -- <br />SIGNED: X <br />MATERIALS <br />A IN. <br />1 IN. E m6rr <br />UNT <br />PIP: <br />COPPER -- GALV. -- STEEL <br />CORPORATION <br />— <br />CURB COCK <br />OT <br />IF <br />SERVICE BOX <br />PLASTIC •• C I <br />I <br />-- <br />METER VALVE <br />METER No. $1 <br />METER BOX <br />d0 I31'TL S 5 TYPE: Nep�ur= <br />CONCRETE SMALL <br />_, <br />I N— <br />LARGE <br />--i <br />---- <br />-- <br />_ <br />l- I 1 ^ <br />Z� <br />— <br />— <br />— <br />-- <br />DATE INSTALLED. / 9 �.- <br />ON <br />OFF <br />SUB TOTAL <br />CODE L\BOP ANDEOUIPMENf RENTAL <br />HOURS <br />RATE <br />TOTAL <br />REMARKS: <br />