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APPL. d?sC 3Z <br />No. <br />-Y—,��FI` 003� <br />FIXED <br />SERVICE (BY ADDRESS) <br />OWNER <br />4 <br />INSTALI -- __FLAT <br />METEITMI7 BE <br />APPLICATION FOR SERVICE <br />CITY OF EVERETT WATER DEPT <br />SERVICE ND 782 <br />ORDER <br />DAT T /7 Ez <br />I HEREBY APFLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEWiAFTER CHANGED. BIQNEo• X <br />' .r I <br />MATERIALS <br />,A IN. <br />1 IN. 2 1N. <br />( <br />PRICE <br />AMOUNT <br />_PIPE COPPER -- GAL.V. - STEEL <br />CORPORATION <br />CURB COCK OT <br />✓ <br />SERVICE BOX PLASTICC -- C I <br />_ P <br />5 <br />METER VALVE <br />METER No. TYPE: <br />I <br />-- <br />METER BOX CONCRETE SMALL LARGE <br />— <br />I <br />I <br />_ <br />DATE INSTALLED: (1 / G �/ <br />ON <br />.OFF ,`�—�M4'C SUB TOTAL <br />COD[ LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />IA <br />TOTAL <br />�7 <br />KEMAK KS: t N r✓/ e L/ /) I� A I 0 <br />