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APPL. ZO/*/ <br />No. <br />-?o /-5Z/ <br />[y FIXED ,1 <br />❑ DEPOSIT Son GU <br />SERVICE (BY ADDRESS) <br />OWNER— <br />FLATJNSTALZ�T <br />APPLICATION FOR SERVICE <br />CITY OF EVERETT WATER DEPT. <br />✓L7C/ . <br />1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY ;)E HEREAFTER CHANGED. <br />SIGNED: X_ <br />_ MATERIALS —_ ii IN. 1 IN. � 2 IN. <br />PIPE COPPER -- GALV. — STEEL .� <br />CORPORATION <br />CURB COCK <br />SERVICE BOX <br />METER VALVE <br />METER No. <br />METER BOX <br />OT <br />PLASTIC -- C I <br />TYPE: I H <br />CONCRETE SMALL LARGE <br />GERVICE N2 834 <br />ORDER. �q <br />DATE <br />Y2M <br />PRICE n AMOUNT <br />DATE INSTALLED: <br />COVE <br />r� I ONE <br />Z 6 Q�OFF r //r SUB TOTAL J <br />LABOR AND EQUIPMENT RENTAL HOURS RATE <br />/ <br />0 <br />_ TOTAL /_ <br />.3 <br />