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APPL. Q f APPLiFATION FOR SERVICE <br />No. �/ <br />a0/5a CITY OF EVERETT WATER DEPT <br />e FIXED / <br />DEPOSITS <br />SERVICE ter wooaese)_:3�"-`' BLK._//y <br />/ <br />OWNER CONTRACTORIL <br />FLAT <br />INSTALL METERED SERVICE <br />I 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 BE hEREAFTER CHANGED. SIGNED: <br />SERVICE IV2 842 <br />ORDER <br />DATE 2- 4 / t8 <br />O. <br />MATERIALS <br />34 IN. <br />I IN. 2 IN. <br />PRICE <br />AMOUNT <br />PIPE <br />COPPER -- GALV. -- STEEL <br />l 1 <br />CORPORATION <br />CURB COCK <br />OT <br />SERVICE BOX <br />PCASTIG - C I <br />METER VALVE <br />METER No. <br />TYPE: I <br />;5 <br />METER BOX CONCRETE SMALL LARGE <br />/ <br />!�8 <br />I <br />_ <br />- <br />I <br />I <br />I <br />DATE INSTALLED: <br />- ( <br />I Q ON <br />Er OFF <br />t.. <br />SUB TOTAL <br />CODE <br />LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />/1 <br />C <br />i <br />I <br />I <br />TOTAL <br />I✓ <br />REMARKS: rJ` �. C.., _. :. _ �. , _-r 461 i '/). - `77% ,`w <br />