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_APPL.;l <br />NO. <br />�o5�•j <br />FIXED <br />DEPOSIT i <br />SERVICE (BY ADDRESS <br />APPLICATION FOR SERVICE <br />CITY OF EVERETT WATER DEPT. <br />8514 E <br />ORDER E NO 1248 <br />DATE March 1 _IBA <br />DII <br />OWNER___ . - -_CONTRACTOR- WO I t ThCFTa4 Cnnc trilrt inn <br />INSTAL-5/Q XFLAT <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE /J/ �,�/� <br />ORDINANCES AND ES OF THE WATER DEPARTMENT NOW EXISTING <br />13EH OR AS SAME MAY BE HEREAFTER CHANGED. SIQNEo:X <br />MATERIALS <br />�/� IN. <br />I IN. 2 IN. <br />PRICE <br />/ AMOUNT <br />PIPE j/COPPER, ALV.-STEEL <br />CORPORATION <br />URB COCK._(T� <br />SERVICE BOX .,P ASTIC - C 1 <br />METER VALVE <br />IL/j <br />METER No. TYPE: I <br />N <br />METER BOX CONCRETE SMALL LARGE <br />— eI` <br />AL?D <br />- <br />I <br />I <br />- <br />I <br />I <br />DATE INSTALLED: <br />ON . <br />,-OFF - SUB TOTAL <br />❑ <br />171S <br />CODE LADOR AND EQUIPMENT RENTIL HOURS <br />RATE <br />TOTAL <br />REMARKS: / " <br />