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A'PPL. I ��'� APPLICATION FOR SERVICE SERVICE N2 9 <br />No. ORDER <br />` /q— <br />/ 7 CITY OF EVERETT WATER DEPT. <br />FIXED DATE ES <br />-- <br />+- <br />DEPOSITS 7S No.— O. <br />l ( I�Z EVe✓�N U14 <br />SERVICE (BY woDREeal--r' y¢e BLK. LOT ADD. <br />OWNER— L3 y ( A ,ICI �' S __CONTRACTOR <br />INSTALL_ FLAT <br />_ METERED-SMIMCE <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH T14E �-� <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING �'1' <br />OR AS SAME MAY BE HEHEAFTER CHANGED. BIG NED: X� <br />MATERIALS _ <br />PIPE 'PFFi GALV.--STEEL _ <br />COP <br />CORPORATION <br />;CURB COCK}---OT <br />ow IN. <br />1 IN. <br />4— <br />1 2 IN. <br />1 <br />�� <br />PRICE <br />AMOUN T <br />5 <br />SERVICE BOX <br />METER VALVE <br />LASTr;_- C I <br />METER No. _ <br />.METER BOX <br />_ TYPE: 're <br />CONCRETE SMALL LARGE <br />Cr <br />_ <br />I <br />DATE INSTALLED:_ <br />/ _ (� <br />ON <br />I [3pFF <br />���� SUB TOTAL <br />�o <br />CODE <br />LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />TOTAL <br />REMARKS: I <br />S <br />