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APPL. a7rl.(p (, CITY OF EVERETT <br />No. APPLICATION FOR WATER SERVICE <br />Ei FIXED co <br />V DEPOSIT s (o M <br />la�_f (`�f{� n2cDvuya l <br />SERVICE ISY ADDRESS) —yl'T�St�'Q- BLK._—__—LOT. <br />SERVICE W 6 ^ 3 O <br />ORDER 1V'7 VG O <br />DATE-.Z-=31O1 <br />No — <br />No. <br />INSTALI w----W-F— ETEREu env w�.---- --- <br />I HEREBY APPLY FOR T F WATER IN ACCORDANCE WITH THE G ' <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />ur En SIGNED: %-D' - <br />14 IN. <br />I IN. 1 IN. <br />I <br />PRICE <br />AMOUNT <br />MATERIALS <br />PIPE COPPER -- GALV.�STEEL ___ <br />CORPORATION <br />—� <br />- <br />CURB COCK OT <br />SERVICE BOX PLASTIC -- C I <br />- <br />METER VALVE <br />-- <br />METER No. p 7 TYPE: <br />- <br />METER BOX CONCRETE SMALL LARGE <br />❑ ON <br />DATE INSTALLED: `� 2 7_ Sy ] <br />i <br />OFF <br />T <br />SUB OTAL <br />RATE <br />LABOR AND EDUIPMENIRENTAL <br />cooE <br />� M OURS <br />T. <br />TOTAL <br />REMARKS: �-L;7- 4l%A C•L. `J Df!( Ms _ <br />