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APPL. <br />No.I CITY OF EVERETT SERVICEORDER <br />APPLICATION FOR WATER SERVICE $,- <br />J2,FIXED DATE_- <br />❑ DEPOSITS W. <br />SERVICE (BY ADDREVS)—AP14,,/,/1C 'y,-./ ____y_BLK.__ —LOT <br />J ADD.�lL�C1L.L <br />OWNE _ I�-�r (1L1� _CONTRACTOR <br />����� �I� �LAT <br />INSTALL _L� METERED SERVICE—_ <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCOFDANCF WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING - � <br />OR IN SAME MAY HEREAFTER CHANGED. BICN ED: X 666"' �r <br />A I.M. AL. <br />SIN. <br />I IN. 2IN. <br />�� <br />PRICE <br />AMOUNT <br />PIPE <br />COPPER -- GALV. -- STEEL <br />—CORPORATION <br />I} <br />CURBBCOCK <br />OT <br />— <br />SERVICE BOX <br />PLASTIC -- C I <br />METER VALVE <br />METER No. TYPE: I Sf <br />METER BOX CONCRETE SMALL LARGE <br />DATE INSTALLED: <br />+ vJ_ <br />�I 1L'7�;) <br />'JUL <br />vi I J <br />ON <br />OFF <br />SUB TOTAL <br />CODE <br />LABOR AND EOUIPMEN f RENTAL <br />C <br />HOURS <br />p <br />RATE <br />TOTAL <br />]REMARKS: <br />