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APP?L/693 <br />o FIXEDEr DEPOSIT 5 <br />APPLICATION FOR SERVICE <br />CITY OF EVERETT WATER DEPT. <br />SERVICE N2 2446 <br />ORDER <br />DATE —I' .�-199-2._ <br />Q <br />SERVICE (BY ADDRESS) �-3/ 'L -BLK. .-LOT ADD.411�` -s� <br />OWNER- _Zc�t.g'�'L=/-�= CONTRACTOR--- <br />FLAT <br />INSTALI 1�z --METERED.SERVICS)_---------- - <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE l <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED: X <br />I MATERIALS ID, IN <br />PIPE COPPER GALV. -- STEEL <br />I CORPORATION <br />IIN.2'N.I <br />PRICE <br />AMOUNT <br />1 CURB CCCK OT <br />I <br />SERVICE BOX PLASTIC -- C I <br />METER VALVE <br />II METER TYPE:A4p/l% <br />I�METER BOX CONCRETE lR4n/ SMALL LARGE <br />�-f Av_!f <br />I <br />� <br />- <br />DATE INSTALLED: J SJ <br />: <br />n ON <br />I N OFF <br />!i11,^v TOTAL <br />CODE l LABOR AND EOUIPMEN! RENTAL <br />�HOIIRS <br />RATE <br />4 <br />13 <br />_ <br />TOTAL <br />REMARKS: _ <br />