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NO. 26` 4 7 CITY OF EVERETT SERVICE o <br />APPLICATION F09 WAT:R SERVICE ORDER N 5712 <br />DATE_,G1..4_ Z g.18.69_ <br />tg FIXED <br />W. <br />ci DEPOSITS D� 2 //ll� //�� No� yy — /—��--- <br />F ' SERVICE(BY ADDRESSI lr� 0a Sci 1 L1A J&__BLK._ LOI_36_ADD.I.[I/JJ1(r <br />OWNER �1J-= <br />L �J_J INSTAL — <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. SIGNED;X <br />MATERIALS <br />YI IN. <br />IIN. 2' <br />I <br />PRICE <br />AMOUNT <br />PIPE <br />COPPER •• GALV. -- STEEL <br />CORPORATION <br />I <br />_ <br />CURB COCK <br />OT <br />SERVICE BOX <br />PLASTIC •• C I <br />I <br />METER VALVE <br />METER No. <br />METER BOX <br />TYPE: <br />CONCRETE SMALL LARGE <br />DATE INSTALLED: <br />J, ON <br />OFF (. _ ��t J)G'�� SUB TOTAL <br />C'Oo•�OS <br />I.ADOR AND EOUIPMENf RENTAL <br />HOURS <br />RATE <br />TOTAL <br />REMARKS: <br />