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APP�" v'��� CITY OF EVERETT <br />No. <br />APPLICATION FOR WATER SERVICE <br />� FIXED /'� /'� �a <br />J�( DEPOSIT s �/�J <br />�,� <br />SERVICE (er /w�ou�ut»l��� S �' C�� BLK_'7�. �ILO'T. <br />OWNE r � N��� —CON7RACTOR�L�s <br />�� LA � <br />INSTAL � Mi: ERED SERVICE—__— <br />1 HEREBY APPLY FOR 7HE USE OF WATER IN ACCORUANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING , <br />OR AS S�ME M11Y I': HEREAFTER CHANGED. e�cNeo:X. <br />MATERI�lS I� IN.I I IN. � 2 IN. I I <br />PIPE ��� <br />CURPORATION <br />CURB COCK <br />SERVICE BOX <br />METE7 VALVE <br />METER No. <br />METER BO% <br />OT <br />TYPE: � �S <br />(:ONCRETE SMALL LARGE <br />DATE INSTALLED: �,i� x� �{/�.. I � OFF <br />V u�v <br />GODE � LABOR AND EOUIPMENTRENTAL <br />� o I-��� _-. <br />3 <br />SERVICE n ^ <br />ORDER NO. 4i 7 � <br />DATE ��L_f0� <br />W. O. <br />PRICE II AMOIIHT <br />SUB TOTAL <br />HOUR9 I RAlE <br />TOTAL <br />�/J// <br />