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I <br />APPL. Q <br />vD. V APPLICATION FOR SERVICE SERVICE N° 1 9 4 6 <br />2"'F:XED <br />CITY OF EVERETT WATER DEPT. ORDER ❑/n <br />DATE <br />DEPOSITS#SJacl <br />� <br />_18 <br />No <br />SERVICEgYADDRMS) C97 61111/,,lr � <br />( S <br />OWNER //�AV /�/YJi� SLK. LOT ------ADD. <br />���i�le /dyr —CONTRACTOR_ u M <br />INSTALL -'METERED SERVICE _ <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE / <br />OR AS <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />/ C <br />SAME MAY BE HEREAFTER CHANGED. SIGNED: X_ ✓ v <br />MATERIALS ?i IN. f I IN. 11 Z IN, <br />PIPE �+����_ PRICE AMOUNT <br />COPPER GALV.�STEEL I / I I <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX <br />METER VALVE <br />METER No. s.7 2 <br />METER BOX CO; <br />DATEINSTALLED: <br />CODE I <br />REMArAS: <br />PLASTIC .- C 1 <br />TYPE: yPD� P <br />SMALL q <br />'J!/ 1 ❑ OFF <br />LABOR AND EQUIPMENT RENTAL <br />rOSUS TOTAL <br />HOURS I RATE <br />