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APPL. SERVICE <br />Nd. (p a i CITY OF EVERETT ORDER NO. 4980 <br />' APPLICATION FOR WATER SERVICE Q/' <br />FIXED DATE �I�J�M�11-19 Vim°_ <br />DEPOSIT S W. N ,0. <br />Ir^ �Q�S� y1_ -/ I, ��Ot.lWr>Y <br />SERVICE (BY ADDRESS—I-LLv II1�'61 L_(w,l A__ BLK.__—LOT A3 ADD. <br />II LAT <br />INSTALL__ ERED SERVICE_-- .— - .-------- <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 BE HEREAFTER CHANGED. SIGN Em <br />MATERIALS <br />1: IN. <br />I IN. 2 IN. <br />PRICE <br />AMOUNT <br />PIPE <br />CORPORATION <br />_ COPPER-_GALV. •- STEEL <br />—II— <br />CURB COCK OT <br />_I <br />_ <br />SERVICE BOX <br />PLASTIC • -I <br />I <br />METER VALVE <br />METER No. TYPE: <br />METER BOX CONCRETE SMALL LARGE <br />_ <br />I <br />DATE INSTALLED: <br />7 <br />VVV <br />ON <br />F-OFF <br />SUB TOTAL <br />CODE <br />LABOR AND EQUIPMENNr <br />HOURS <br />RATE <br />RENTAL <br />TOTAL <br />REMARKS: <br />