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f <br />APPLICATION FOR SERVICE SERVICE N° 2320 <br />APPL415�6/ ORDER <br />NO.; 5� CITY OF EVERETT WATER DEPT. <br />t DATE-_yfi� —19 <br />FIXED ©-\ W. O. <br />No. — <br />DEPOSITS <br />I / <br />' SERVICE (BY ADDRESS) O �/`" �` �.. BLK�LOT <br />.J�=2ADD���' <br />,r`l�j� 4 U/-, _CONTRACTOR <br />OWNER4 <br />F _ <br />INSTALI f ETERED SERVIC ` . <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />�I ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING SIGNED: X. <br />I OR AS SAME MAY DE HEREAFTER CHANGED. PRICE 1 AMOUNT <br />MATERIALS <br />PIPE COPPER}- GALV. -- STEEL <br />CORPORATION <br />CURB COCK OT — <br />5ERVI:E BOX PLASTIC -- C I <br />I1---M—ETEF. VALVETYPE:�-0fuJ---! <br />I Ye I <br />I METER No. �� f/ r <br />I Z L <br />I METER BOX CONCRETE MALLARGE <br />—_ <br />ErG'z XPAWI i <br />^owD w— <br />I <br />I ON <br />OFF <br />DATE INSTALLED: / _ z (,.� ?G I ❑��� <br />LAUOR AND EQUIPM EN'f RENTAL <br />GODS <br />3 <br />REMARKS: <br />SUB TOTAL <br />HOURS ' RATE <br />TOTAL <br />