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NGPL. ..-� Q 9 APPLICATION FOR SERVICE <br />- CITY OF EVERETT WATER DEPT. <br />E71 FIXED <br />!F' DEPOSIT rY <br />SERVICE N2 131 <br />ORDER <br />DATE��_t -1 s_79 <br />W. O. <br />SERVICE (BY ADDRESS) - ✓�'3��-1« BLK. LOT -ADD. <br />OWNER C h CDC %J-� CONTRACTOR <br />2 , 0T 4i- <br />INSTALI METERED SERVICE _ <br />I HEREBY APPLY FOR USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING AS SA 2LC/C�, lVIVLC"/�1�l.cG� <br />OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED: X.L <br />MATERI>LS <br />1(1 IN. <br />1 I IN. 1 2 IN. <br />PRICE <br />AMOUNT <br />PIPE <br />COPPER,- GALV. -- STEEL <br />CORPORATION <br />T <br />1 <br />I <br />_ <br />k// <br />CURB COCK OT <br />SERVICE BOX PLASTIC •• C I <br />METER VALVE <br />METER NO. f G�i t� / TYPE: <br />METER BOX CONCRETE MAL LARGE <br />L�O <br />—ems-- <br />I <br />DATE INSTALLED: 7 <br />- 7O <br />ON <br />I0LOFF <br />�} jj <br />SUB TOTAL <br />.Z <br />/// <br />44 <br />CODE <br />LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />�` <br />TOTAL <br />REMARKS: <br />%% 5 <br />