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SER <br />APPL. /'��. - CITY OF EVERETT ORDERS NO. r n J 5 <br />No. l[1 <br />APPLICATION FOR WATER SERVICE p� <br />DATE —. +oCl,a• <br />FIXED <br />tOY DEPOSIT No. -- <br />SERVICE (BY ACoREssst(SLOT ADD.-ScC�cZGa� _ <br />OWNER-/'-/ - -.(�IrQ-J4 � CONTRACTOR_--UO-IIZ p <br />U II INSTALI '� _�ETERJ SERVICE --- <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND <br />POLICIES <br />DEPARTMENT NOW EXISTING <br />ORSAME MAY HEREAFTER CHANGED. SIGNED: X --- _ <br />MATERIALS ''i IN. IIN. 12I .1 I PRICE I AMOUNT <br />f� <br />PIPECORPORATION <br />SERVICE BOX PLASTIC •• CS _ <br />METER VALVE --- <br />METER No. TYPE: ISS72 <br />���_Q�GE <br />METER BOXR_ -- <br />i/row lYn .If ICS�orA a/i <br />ON <br />DATE INSTALLED: �/ �' I ( 8ip I I•] OFF [J• / �Qj( SUB TOTAL <br />CODE I LABOR AND EDUIPMENf RENTAL HOUR! RATE <br />q�% — - ----I$- <br />TOTAL <br />REMARKS: <br />