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APPL. �I 9 y�3 7 AFPLICATION FOR SERVICE <br />No. <br />�9��� CITY OF EVERETT WATER DEPT <br />ipf FIXED <br />���� c���U <br />� DEPOSIT S r/, � . <br />'/ n /1 <br />SERVICE(arnooRessl��— �"��Z"t"e"=� DLK.—�/ <br />OWNER —.--CONTRACTOR^"r <br />3 �./' FLAT <br />INSTALL—L_.—� SERVICE __ <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />OROINANCES AND POLICIES OF THE WATER DEPAFTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. sicNeo: _ <br />MAT[RIALS �i IH. t IN. I 2 IN. ' <br />PIPE � COPPER S GALV. - STEEL � <br />�_ —_ _ <br />CORPORATION ` � I <br />C U R�T.00K-�'�OT) I_�_ <br />BERVICEBOX PLASTIC�-- CI I _ <br />METER VAIVE I <br />METER No. TYPE: I 15 <br />METER BOX CONCRETE SMALL LAftGE —� <br />DATE INSTALI.ED: <br />cO�E I <br />I �`n.� � i ♦ <br />__.I ./1 <br />_ �.«1L� r• o/l <br />I ��T <br />� <br />� ON <br />� OFF <br />�'l. �.7 <br />LABOR ANO EOUIPAIENI' RENTAL <br />i <br />N <br />SERVICE �� 1 1 9 <br />ORD��i/�J.�� <br />DATE "�� /� 1�JJ_ <br />/ <br />W. O. <br />PpICE AMOUNT <br />.57 I ���� <br />SUB TOTAL /� � � <br />HOURS RATE <br />./ <br />.' ' '" / l. y' <br />L --� I � <br />� . . . �� I � i . � ( � �) <br />TOTAL <br />'. I; <br />REMARKS: ' ____ �" t- <br />, .-y--- 5 <br />