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No. � p30; <br />I No. / 777 <br />FIXED <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />1wc-119- (o(PU-77(-/ <br />SERVICE ORDER N_O 7 7 61 <br />DATE 7 1GL11- <br />o DEPDSITs �aoo C TO POSTING 3-zZ-��l <br />SERVICE (B/v ADDRUE) J K) A& - BLK•- LOT— <br />/ .. /_ n <br />INSTAL TERED SERVIC ep m-�` ` <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: COi_ <br />- -. MATERIALS <br />% IN. <br />I IN. A IN. <br />0410E <br />AMOUNT <br />Ipg✓ Q COPPER -- GALV. -- STEEL-% <br />.-;CORPORATION <br />CURB COCK OT�jyt/zjdjj� <br />SERVICE BOX PLASTIC -- C I <br />I <br />7 <br />752�%�_%7_r <br />►+yE{n 'm'•o /� �61�i-�o TYPE: <br />METER BOXQ CONCRETE-e/o SMALL <br />S2azo <br />DATE INSTALLED: �7i1 G <br />1p{ ON <br />I j�+ OFF SUB TOTAL <br />LABOR AND EDUIPMENf RENTAL <br />HOURS <br />RATE <br />�� --- -- --- NO AcT_ IONI <br />Will be U*n m sehilra <br />-- apPliCations without a <br />— m <br />rie en Ion oulta;lsn <br />I <br />TOTAL <br />REMARKS: <br />S ��I � G.F� I p0"`9'rS I.I� V-I �I fkPirtiT ,/�✓.r/ <br />