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APPL. -�.iI /_ /4� 6� . APPLICATION FOR SERVICE SERVICE N2 180 <br />ND, i i� I CITY OF EVERETT WATER DEPT. ORDER <br />I'XED <br />n (.�/ DATE LL____19�aL <br />n il�.�l'1-e�- <br />DEPOSIT 33M v^ _< ND O— -- <br />SERVICE (BY ADDRESS) <br />O NER CONTRACTOR —__— <br />y �LV FLAT — <br />L—�� _—ME-TGRED SERVICE__--___- <br />1 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: <br />PIPE <br />CORPORATIONLl <br />CURB COCI O <br />MATERIALS <br />_ COPPE <br />- GALV, -- STEEL ✓ <br />IN IN. <br />I 1 IN. 2 IN. <br />PRICE <br />AMOUNT <br />SERVICE BOX <br />PLASTIC <br />-- C <br />METER VALVE <br />METER No. <br />TYPE: <br />METER BOX CONCRETE <br />SMALL LARGE <br />I <br />I <br />j <br />DATE INSTALLED: <br />_ / _ <br />ON <br />EjffFF <br />SUB TOTAL <br />�3 <br />CODE <br />LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />�,�Ir <br />�'- <br />s;- <br />M. <br />REMARKS: <br />