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APP ,r- _ A APPLU:A710N FCR SERVICE SERVICE N4 2020 <br />I NO. ORDER <br />TY OF EVERETT WATER DEPT. � lneu c/,2 75� <br />DATE_ 19_ <br />i r�-'-- <br />[j DEPOSITS I ,�SI W. O_ <br />j SERVICE (BY AODaess)_ 5-0/77 3 Sea Ave. w. BLK. Y�- 2LOT 9!.ADD. <br />OWNER Ca-�'sR/• ( MG �Ay _CONTRACTOR <br />INSTALL (, MLETLYtGC-J[}tV= <br />f HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE, <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED:X <br />r MATERIALS <br />'14 IN. <br />I IN. 2 IN. <br />PRICE <br />AM <br />T <br />PIPE COPPER)- GALV. -- STEEL <br />l <br />CORPORATION <br />1_ <br />1 GURB COCK OT <br />SERVICE BOX PLASTIC - C I <br />_J <br />I METER VALVE <br />1 METER No. TYPE: <br />_ ._ <br />METER BOX CONCRETE SMALL LARGE <br />DATE INSTALLED: / -7 7 <br />—�-/7' /-S! <br />ON <br />OFF n <br />❑ ,�j/�/,�� SUB TOTAL <br />CODE LABOR AND EQUIPMENT <br />RENTAL HOURS <br />RATE <br />TOTAL <br />REMARKS: <br />u <br />