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APPL. Jrb _Z, SERVICE <br />No. CITY OF EVERETT CRDER NO. f" �.- <br />APPLICATION FOR WATER SERVICEQQY <br />FIXED 0 VATE�2 19�— <br />DEPOSIT 5 Q W. O. <br />No._ <br />SERVICE UV ADDR[151—QOez��'3�Ua+-4Q�cEILK._ LOT `�/ <br />OWNER_li�(��EA JG/� —CONTRACTOR <br />.3 ri <br />INSTALL_ TERED S VICE_. <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING nn <br />_ OR AS SAME MAY BE HEREAFTER CHANGED. <br />MATERIALS <br />Ip IN. <br />1 IN. <br />2 IN. <br />PRICE <br />OUNT <br />PIPE <br />COPPER -- GALV. -- STEEL <br />CORPORATION <br />CURB COCK <br />OT <br />SERVICr. BOX <br />PLASTIC -- C I <br />METE" ALVE <br />METER No. TYPE: I K <br />METER BOX CONCRETE SMALL LARGE <br />p <br />DATE INSTALLED: ON �j —�� O� I L, OFF <br />SUB TOTAL <br />CODE LABOR AND EOUI^IENf RENTAL <br />HOURS <br />RATE <br />-- <br />I <br />2!// 11 <br />� <br />1 <br />_ <br />TOTAL <br />REMARKS: <br />4 �� <br />