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APPI?l tc ,'Wd4 <br />No. <br />FIXE ) <br />� <br />DEPOSITS 7-7 ' <br />APPLICATION FOR SERVICE <br />CITY OF EVERETT WATER DEPT <br />SERVICE ND 2428 <br />ORDER <br />W. O. <br />No. — <br />SERVICE (BY ADDRE88) " I I- - -- - - - """ --' "-_"� <br />OWNER1//j t�y Y� "( �-L/-A-Fc>t��4; r" 'D CONTRACTOR — <br />INSTALTERED 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 BC HEREAFTER CHANGED. SIGNED: <br />r MAT [VIALS <br />IN. 21N. <br />PR1C6 <br />AMOUNT <br />LPIPE _COPPER -- GALV. -- STEEL <br />CORPORATION- <br />CURB COCK OT <br />1 <br />r <br />I SERVICE BOX PLASTIC - C I <br />I <br />I <br />I METER VALVE <br />METER No. _I ey'D TYPEZARLO.y <br />r <br />I tis <br />METER BOX CONCRETE SMALL) LARGE <br />1 Mr_rrg .c iA AIK <br />-4- 13 r-v,n /" <br />I <br />� <br />I <br />DATE <br />DATE INSTALLED: S — �r 7 <br />OFF <br />SUB TOTAL <br />CODE j LABOR AND EQUIPMENT RENTAL <br />_ HOURS <br />RATE <br />i <br />t.�A/y <br />_ 1 4 <br />_ <br />n z /, <br />I /.2 <br />I <br />a/ <br />TOTAL <br />I REMARKS: <br />I <br />_ <br />