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APPL. ' 47 J 9 V APPLICATION FOR SERVICE <br />No. <br />dell, z CITY 019EVERETT WATER DEPT. <br />❑ FIXED <br />DEPOSIT g <br />7� <br />/� - -5� <br />SERVICE far wooasasl _BLK. LOT <br />OWNER ' CONTRACTO <br />SERVICE N2 1308 <br />ORCI� <br />i <br />W O. <br />No. <br />/I FLAT f l Jl� �: <br />IINSTALL!_1--MdETERED-SEN/ICE' <br />I HEREBY APPLY FOR THE USE OF WATER IN A CORDANWITH THE <br />oRDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />AR dC SAMF MAY aF HEREAFTER CHANGED. SIGNED: X i <br />MATERIALS <br />$ 114.1 <br />1 IN. 1 2 IN. <br />-' <br />PRICE <br />AMOUNT <br />PIPE COPPER -• GALV. -STEEL <br />_ <br />� 69 <br />l,7o <br />i� <br />COR PC RATION <br />CURB COCKOT <br />SERVICE BOX PLASTIC -• C 1 <br />METER VALVE <br />METER No. TYPE: <br />_ <br />METER BOX CONCRETE SMALL LARGE <br />Z o <br />_ <br />G� <br />I <br />DATE INSTALLED: Gi "1 <br />OFF / � SUB TOTAL <br />CODE LABOR AND EQUIPMENT RENTAL HOURS <br />RATE <br />I <br />! E� <br />5 kt✓ ^ — <br />el r� <br />Z <br />3.��11 <br />loa <br />TOTAL <br />REMARKS: C- Cam- _ A` %,) I oa LO 11`tr c9 �. �... ! /_ Y F/_ A/.' y <br />