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APPL. SERVICE <br />No. p� 70,] g• CITY OF EVERETT ORDER pA <br />APPLICATION FOR WATER SERVICE N� '� 80At <br />DATE__ <br />❑ FIXED <br />W. O. <br />DEPOSITS (D �%� No. ---- <br />SERVICE Ur ADDRUBI I--✓-��+ J /-��-�'��`�-�"^"--"'" BLK.----LOT ADD.-- --- <br />OWNErt nfPM Nd �(,1Q�` —CONTRACTOR-------- <br />to FLAT �` <br />INSTALL METERED SERVICE---Co&L— - --_ -- <br />1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WI1H THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING SIGNED: X------- --- - --- <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />PIPE <br />CORPORATION <br />CURB COCK <br />MATERIALS <br />COPPER -- GALV. -- STEEL <br />OT-- <br />w' IN. <br />I IN. 2 =V. <br />II <br />PRICE <br />AMOUNT <br />- <br />SERVICE BOX <br />PLASTIC •- C 1 <br />METER VALVE <br />— <br />METER No. $'O TYPE: —_ _ <br />I 4 <br />-- <br />--I— <br />SMALL LARGE <br />METER BOX CONCRETE " <br />I <br />DATE INSTALLED: q-�?G -��� �� <br />ON <br />OFF <br />I.� <br />SUB TOTAL <br />CODE I <br />LABOR AND EOUIPMEN f RENTAL <br />HOURS <br />RATE <br />_ <br />I <br />-- <br />TOTAL <br />REMARKS: <br />