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APPL. /Jk? APPLICATION FOR SERVICE <br />IJD. <br />CJ_7 OF EVERETT WATER DEPT- <br />FIXE:0 Ar .� <br />a <br />SER'VIC'E (BY ADDRESS)�2/ `� BLK.__—.—_LOT. <br />._7,ej FLAT <br />I HEREBY APPLY FOR THE USE OF WATER <br />ORDINANCES AND POLICIES OF THE WATER <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />SIGNED: <br />F.:RVICE IY2 26 <br />ORDER <br />DATE <br />NA <br />MATERIALS <br />ii IN. <br />1 IN. 21N. <br />PRICE <br />AMOUNT <br />PIPE <br />PPER GALV.--STEEL <br />CORPORATION <br />CURB COCKS--'O_ <br />/ <br />5 <br />SERVICE BOX <br />PLASTIC -- C 1 <br />I <br />5 <br />METER VALVE <br />_ <br />METER No. <br />_ TYPE: I ;g <br />METER BOX CONCRETE SMALL LARGE <br />--I <br />I <br />I <br />I <br />I <br />DATE INSTALLED: <br />� <br />� _ / `> <br />OFF I <br />� <br />-A <br />,''!,/_ <br />SUB TOTAL <br />IN <br />CODE <br />LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />J -1 <br />TOTA <br />REMARKS: <br />r <br />