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AFPL. <br />No. <br />J,�m,6 <br />® FIXED <br />DEPOSITS <br />SERVICE (BY ADDRESS) <br />APPLICATION FOR SERVICE <br />CITY OF EVERETT WATER DEPT. <br />I <br />SERVICE IY2 5.Ei 8 <br />ORDER <br />DAT L- //�l1 �L <br />W.`O. <br />OWNER _- ._.'-2 .'4��C9--J ALG Ac. .-.-• ) <br />�/ FLAT %11s-,t -.�=C! a..•/. Z4,w, <br />INSTALS _meTCR£O SERVICE -- <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING air_cJ �:K �/ <br />vm na anmc mnu� �....... ..... ........___. <br />MATERIALS <br />n H. <br />1 <br />1 IN. 21N. <br />PRICE <br />AMO{IMT <br />- �_ <br />/�� <br />plpE COPPER <br />GALV. •-STEEL <br />•-�o <br />jUz <br />CORPORATION <br />'CURB C OC = <br />SERVICE BOX PL�P.ST:'/ <br />C I <br />METER VALVE <br />- <br />METER No. TYPE: I `F <br />METER BOX CONCRETE <br />SMALL LARGE <br />I <br />I <br />I <br />_ <br />I—. <br />INSTALLED: <br />ON <br />�= SUB TOTAL <br />'OFF i <br />') <br />DATE <br />,LABOR <br />AND EQUIPMENT RENTAL RENTAL I <br />HOURS <br />RATE <br />CODE <br />I <br />JI <br />12 <br />✓REMARKS: - -— ' <br />