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APPL•• " 4 I3 APPLICATION FOR SERVICE <br />DC /S CITY 01: EVERETT WATER DEPT. <br />B-FIXED <br />DEPOSIT g ! JJ <br />SERVICE (SY)ADDREBSI �'C�'& G�_' ,! � �� - iy CI It <br />OWNER <br />SERVICE N2 10 / LI <br />ORDER <br />DATFI!C_ �J _ / ; 19L <br />W. O. TTT�� <br />A <br />jL% FLAT <br />INSTALL f"Tico AD SERVI _ <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: XC^ <br />MATERIALS <br />Y IN. <br />I IN. I 2IN. <br />I <br />PRICE <br />OUNT <br />PIPE <br />CORPORATION <br />CURB_ COCK (OTT <br />COPPtER •- GALV. - STEEL <br />(p� <br />I <br />I <br />I 1LLa_ <br />' n <br />SERVICE BOX <br />METER VALVE <br />PLASTIC -- C I <br />_ METER No. <br />TYPE: <br />METER BOX CONCRETE SMALL LARGE <br />I <br />I <br />DATE INSTAL '_ED: <br />ON <br />OFF SUB TOTAL <br />15 <br />CODE <br />LABOR AND EQUIPMENT RENTAL. <br />HOURS <br />RATE <br />.. II <br />TOTAL (OO 0O <br />REMARKS: <br />