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APPe ?l71�� <br />No. <br />Q FIXED <br />El DEPOSITS 2,0-b <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />SERVICE (BY ADDRESS 4rlIl�Z B <br />OWNER /O.P. 9 A712.0 RILL SOIULl�fi•(�r;A/ J� CONTRACT <br />(FLAT <br />INSTALL3�/ <br />10 <br />`METERED SERVICE__ <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 />I <br />SERVICE .� <br />ORDER NO. ._ 5. r_ rj <br />0 <br />DATE�/-Z- _1 BLZ <br />W. O. <br />MATERIALS <br />'A IN. <br />1 IN. 2 IN. <br />PRICE <br />AMOUNT <br />PIPE <br />_ COPPE - GALV. -- STEEL <br />8 <br />CORPORATION <br />CC 8 COCK <br />�SE BOX <br />METER VALVE <br />METER No. - <br />OT <br />LASTIC -- C I <br />- - TYPE: ---� M <br />.� <br />-- <br />. <br />---- <br />--- <br />- _— <br />METER BOX CONCRETE SMALL LARGE <br />-���ELA�otH F��LCd/4� <br />I <br />I <br />I <br />_ <br />I <br />DATE INSTALLED: G _ 3D �- 77 <br />ar ON <br />I OFF <br />SUB TOTAL <br />CODE I <br />LABOR AND EOUIPMEN'f RENTAL <br />HOURS <br />RATE <br />I <br />Lyw <br />_I3 <br />RRI, c,e <br />1 <br />17 <br />it <br />TOTAL <br />p <br />�� <br />REMARKS: <br />