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APPL. gp A <br />No. Z- 3 �- <br />M-11 of <br />DEPOSIT I 7 j�'u <br />- <br />SERVICE (ST <br />APPLP:ATION FOR SERVICE SERVICEN? 1679 <br />CITY OF EVERETT WATER DENT, ORDER <br />DATE 1 o—lo IB7;t� <br />W. O. <br />S. <br />BLKJ SY _LOT��AOD/GZ-.P�__ <br />����� CONTRACTIIR ��L� <br />it PLAT b z <br />INSTALI MiilRfD 6ERVICE_ <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: k/ <br />MATERIALS <br />% IN. <br />1 IN. <br />I 3 IN. <br />PRICE <br />AMOUNT <br />PIPE <br />(OPPER)- GALV. •- STeEL <br />15' <br />CORPORATION <br />— <br />CURB COCK <br />OT <br />1 <br />SERVICE BOX <br />PLASTIC C 1 <br />METER VALVE <br />-- <br />METER No. _ <br />TYPE: s{ <br />MEYER BOX <br />CONCRETE SMALL LARGE <br />-.- --- <br />�DUn- S7c7 <br />DATEINSTALLED: <br />» <br />ON <br />r) OFF! <br />7 <br />�,1 ,` SUB TOTAL <br />CODE <br />I <br />LABOR AND EQUIPMENT RENTAL <br />HOURS <br />BATE <br />TOTAL <br />REMARKS: <br />7 <br />