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2 <br />DEPOSITS ?Q <br />APPLICATION FOR SERVICE <br />CITY OF EVERETT WATER DEPT. <br />SERVICE N2 2420 <br />ORDER <br />z- <br />DATE Z � __19Z7 <br />Q <br />SERVICE (BY ADDRESS) �S l!� /_GF (,��%�����" L- BLK. LOT ADD <br />LAT.i <br />INSTALII 3*�ETERED SERVICE <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, SIGNED: <br />j PIPE <br />! CORPORATION <br />MATERIALS <br />6 COPPER GALV. -- STEEL <br />$ IN. <br />37� <br />I <br />1 IN. 1 2 IN. <br />H-+4- <br />1 <br />PRICE <br />AMOUNT <br />COCK <br />j SERVICE BOX <br />OT <br />`PLASTIC _ C I <br />! METES R VALVE <br />METER No. <br />�- _ TYPE: I K <br />j METER BOX <br />CONCRETE SMALL LARGE <br />1 <br />1 <br />-73"- S' AZ r <br />-I <br />I <br />I <br />I <br />i DATE INSTALLED: �/ /� _ <br />rn ON <br />❑ OFF <br />SUB TOTAL <br />;CODE <br />LABOR AND EOUIPMEN fAND RENTAL�NOURS <br />RATE <br />j <br />17 <br />! <br />�3A s <br />is 7 <br />!— <br />I <br />I <br />TOTAL <br />REMARKS: <br />