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APPL. 3 v 6 APPLICATION FOR SERVICE - SERVICE N° 820 <br />No. ORDE <br />20G CITY Of EVERETT WATER DEPT. / <br />FIRED <br />DEPOSITS L/f. �. / �� No <br />0. <br />SERVICE ISY ADDRESS, /"' --'" ' "'""2'�'G� BLK. LOT ADD. — <br />�,LIncG C� .�`1/Y .• FLAT <br />IN�af-,— MHi3D SERVICE <br />I HEREBY APPLY FOR THE USE OF WATER IN AC&DANCE WI H THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED: <br />MATERIALS <br />Si IN. <br />I IN. 2 IN'I'l <br />I <br />PRICE <br />AMOUNT <br />PIPE COPPER -- GALV. - STEEL <br />'-Ay <br />::ORPORATION <br />CURB COCK OT <br />SERVICE BOX -'PLASTID •- C 1 <br />I <br />!' <br />METER VALVE �— <br />METER No. TYPE: I <br />35 <br />METER BOX CONCRETE SMALL LARGE <br />I7 <br />` <br />�!?h <br />�� <br />r <br />DATE INSTALLED: �. <br />ON <br />U OFF i <br />SUB TOTAL <br />CODE LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />TOTALTOTAL <br />Lf� <br />REMARKS: <br />