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Na. 0 _/, Z�� <br />APPLICATION FOR SERVICE SERVICE Iy2 19 7 <br />ORDER <br />CITY OF EVERETT WATER DEPT. 9, 7,U _ 7� <br />00 DATE 19 <br />�F'�ED <br />DEPOSITS ,' �, W. NO0 <br />/n <br />` <br />SERVICE (BY ADDRESS) J-,�� I BLK 60#" LOT —ADD <br />OWNER /�j te �'J��� /`i �✓ SLR �r� CONTRACTOR � J S��A �� ����_. <br />L—�4 INSTAL METERED SERVICE <br />I 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. <br />MATERIALS <br />PIPE COPPER -• GALV.:= STEEL <br />CORPORATION <br />CURB COCK OT <br />Yi IN. <br />1 IN. <br />2 1 <br />I <br />PRICE <br />AMOUfJT <br />�� <br />SERVICE BOX PLASTIC -- C I <br />_ <br />METER VALVc " <br />i— <br />METER No. TYF E: <br />METER BOX NCRETE SMALL LARGE <br />CO <br />_ <br />e711,O <br />r <br />I V <br />I <br />n P <br />I <br />i <br />1401, <br />i �7"xa" f1F_,NJ✓ :ate,- <br />i <br />DATE INSTALLED: O q 71 ��/ <br />® ON <br />OFF �� <br />SUB TOTAL <br />CODE LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />I <br />IQ&gI <br />I <br />j � <br />I � <br />TOTAL <br />I <br />REMARKS: <br />