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APPL. 2 O{L, 85 8 <br />No. 2 6 F-5-3 <br />© FIXED <br />rf DEPOSIT S <br />APPLICATION FOR SERVICE <br />CITY OF EVERETT WATER DEPT. <br />SENVICEN° 1605 <br />ORDER <br />DATE-.Z--J_7----72 I9_ <br />W. O. <br />No._ <br />SERVICE (BY ADDRESS)- e3.I1=- _BLK. LOT ADD. <br />OWNER_C-O-kLIZA-I):%_-L V l AI COIJTRACTOR SA M <br />-- <br />INSTALFLAT��___Id�pip.���i@E____ _ <br />I HEREBY APPLY TOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY EE HEREAFTER CHANGED. SIGNED: <br />M Ai[RIAL[ <br />V. IN. <br />1 IN. 1 IN. <br />PRICE <br />AMOUNT <br />PIPE /COPPER -- ALV. •- STEEL <br />CORPORATION'T� <br />CURB COCK :T <br />SERVICE BOX PLASTIC C 1 <br />7 <br />/ <br />' <br />I <br />I <br />/ <br />Co - <br />Q�JMETER <br />VALVE <br />_METER No. TYPE: <br />N <br />METER BOX CONCRETE LARGE <br />'SMALL <br />DATE INSTALLED: 7 z-- <br />r ON / <br />OFF Ir LJ r r-��• SUB TOTAL <br />CODE LABOR AND EOUIPNENf RENTAL HOURS <br />--- - - ' <br />—i --- _ A all, <br />RATC <br />TOTAL <br />� Z <br />IP <br />