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' APP�''L./ �`!�� APPLICATION FOR SERVICE SERVICE No 23�g <br />No. <br />' CITY OF EVERETT WATER DEPT, ORDER <br />' �FIXED DATE / �/�� _�g �� <br />�� DEPOSIT 5 : O��• U� W. O. <br />No. <br />� �, �� _ /�l , , ,� �' 'vc" � .�/E4 Z—ZL t 4 <br />I SERVICE (ev nDORE86) � '� BLK. LOT ADD. <br />� OWNER <br />I — CONTRACTOR <br />FLAT <br />I INSTALL— METERED 5ERVICE <br />I 1 HEREBY APPL1' FOR THE USE OF WATER IN ACCORDANCE WITH THE ��_ - <br />I Ofi�INANCES AND POLICIES UF THE WATER DEPARTMENT NOW EXISTING � /1 � � <br />� OR AS SAME MAY BE HEREAFTER CHANGED, sicNeo: X���L���f ��� �C—r_�/__ <br />1.UTERIALS ?� � <br />. .. I �N' I��N' I 2�N• I I I � PAICE AMOUNT <br />� PIPE CCO <br />\ <br />I CORPORATION <br />r <br />CURB COCK OT <br />L SERVIGE BOX� _ LA� <br />, METER VALVE <br />�_— --_ _ <br />� METER No. ___� <br />I METER 00X COHCRETE <br />GALV. •- STEEL <br />-- C 1 <br />TYPE: I if <br />SMALL LARGE <br />� DATE INSTALLED: I � OFF <br />, s"- /7- 7 7 <br />, CODE I LABOR ANO EQUIPMENf RfNTAL <br />REMARKS: <br />SUB TOTAL <br />I HOURS � HAT[ <br />_—h_�L7'1V� --� �� -- <br />,/,jjUGr I IG <br />�_ �#j., I / _�J �— _ <br />----�l�L•�P" I .� _ <br />-- �q.�.�.� _i-�-- <br />� <br />- ---I---- --- <br />� <br />TOTAL <br />