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APPL. � �/� SERVICE <br /> Ne. �-�GjGj �ti�- CITY OF EVERETT ORDER � ppp <br /> � APPLICATION FOR WATER SERVICE N�1�.,�43� <br /> � FIXED DATF S_sZC iR <br /> � W.O. <br /> � DEPOSIT s �m_ No. <br /> � Cn ( ��i/ ! �IV� BLK._ LOT�ADD.4�1C'- ����-� <br /> sERVICE ler wnceus� <br /> OWNE�+ A� ' !�� �``� CONTRACTOR ���L ��-� <br /> � u'r <br /> INSTAL, 3�M RED SERVIC <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACLORDANCE WITH THE �� <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. ncNco: % _ _ <br /> MATERI�lB w IN. 1 IN. � 2 N. � PRICE AMOUNT <br /> ���� / I -� <br /> rlrE <br /> i <br /> CORrORAT10N � � <br /> CURS COCK � I <br /> SERVICE BOX LASTIC -- C I I <br /> METER VALVE <br /> METER No. TYPE: I !S _ __ ___ _ <br /> METER BOX CONCRETE SMALL LARGE <br /> F �.-1• � ��,f i _L____� _ <br /> L� I <br /> � � 'T�� '—I _ <br /> I <br /> ,-,{ �I I <br /> � DATE INSTALLED: D}'{— /O�Q I � ppp /1' /�/�7// SUB TOTAL <br /> v CJ �Cl �/ <br /> COD[ I LABOR �IlC ��!��IpMEN f RENTAL �yR3 R�TE <br /> I b �Od <br /> � �-�-�-j - - <br /> � � � -��-s - -- <br /> ' - —�39 �— — — <br /> � I <br /> I -� <br /> TOTAL <br /> �EMARKS: <br />