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APP L7J (5 <br />ZKKIIX� <br />DEPOSIT S . 6.00 <br />APPLICATION FOR SERVICE <br />CITY OF EVERETT WATER DEPT. <br />SERVICE ND 2057 <br />ORDER <br />DATE._L_ zJ —1975- <br />j/(„ cOLGEGE. NILL r)061 <br />SERVICE (.BYADDRESS) 767 _�//�6-/^ .i T" BLK. LOT --ADD. _ -- <br />OWNER ('"1"� �^ `" ( CONTRACTOR -- <br />INSTALL —METERED 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 />v Rc NCRFlFTFR fHANGFD SIGNED: - <br />MATERIALS <br />'A IN. <br />1 IN. 2 IN. <br />PRICE <br />AMOUNT <br />P1pE COPPER - GALV -STEEL <br />CORPORATION- <br />i <br />CURT B COCK OT <br />SERVICE BOX PLASTIC -- C i <br />I <br />METER VALVE•? <br />—. <br />--- <br />E ER No. �fJ�t.S TYPE: ' l� <br />7 <br />t <br />METER BOX CONCRET SMALL ARG <br />— <br />9�� QAZ <br />I <br />_ <br />s VdA, <br />I -- ale r� kPs <br />i <br />DATE INSTALLED: lJ .�� ,a <br />!I <br />I ❑ <br />ON <br />SUB TOTAL <br />OFF <br />CODE LABOR AND EOUIPMEN I RENTAL <br />� 1 <br />HOURS <br />RATE <br />_ <br />I <br />(e <br />I— I <br />TOTAL <br />