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SERVIC <br />No. �OX CITY OF EVERETT ORDER[ <br />No. CJ ORDER No.. 5071 <br />OPLICATION FOR WATER SERVICE ��, / <br />FIXED h )ATE -_L�10.6. <br />DEPOSIT sue_ W.O' <br />SERVICE (BV ADDRESS) _.OiI/J � J _BLK.__.LOT1/A ADD I�" .LfL <br />OWNER _L�__.GONTRACTOR_ <br />FLAT <br />/ <br />INSTAL RED BE / RVIC[ <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. SIGNED:X <br />PIPE _ <br />M ATERIALE <br />COPPER -- GALV. -- STEEL <br />i IN. <br />1 IN. E IN. <br />I <br />PRICE <br />AMOUNT <br />CORPORATION <br />CURB COCK <br />SERVICE BOX <br />METER VALVE <br />METER No. <br />METER BOX <br />- <br />OT <br />PLASTIC C 1 <br />TYPE: �f <br />CONCRETE _ SMALL LARGE_ <br />—}— <br />j <br />DATE INSTALLED: <br />1 <br />! <br />ON <br />OFF <br />SUB TOTAL <br />CODE <br />LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />TOTAL <br />REMARKS: <br />