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No. CITY OF EVERETT SERVICE <br />NO. JO 3 <br />No. I , �_ I (F APPLICATION FOR WATER SERVICE <br />DATE ( I 19Z <br />FIXED <br />DEPOSIT CEO M.O. <br />SERVICE (BY ADDa[esl Z�J ��1 C--T SLK._ LOT_ ADD. <br />OWNER"1 17 /-,- a%7'-¢—esN'"')CONTRACTOR -- <br />L71TT-_"---1 <br />INSTAL- METERED SERVICE--J--- <br />i HEREBY APPLY FOR THE USE ^ATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />n2 ♦e cAYG MAY RP HEREAFTER [HANGED. BIO[{ED: <br />PIPFJP4,4S�ec <br />CORPORATION <br />MATERIALS <br />COPPER - GALV. -- STEEL <br />li iN. <br />I IN. 2 IN. <br />I <br />PRICE <br />AMOUNT <br />— <br />CURB COCK <br />OT <br />SERVICE BOX <br />PLASTIC -- C I <br />METER VALVE <br />— <br />METER NO. <br />_— <br />-- <br />ETER BOX CONCRETEr�L,��` SMALL LARGE_— <br />_ <br />-- <br />Z <br />�4 7, �A <br />J" Tr4f s- <br />N.-D.- <br />F-1,41 =- <br />ApA rrel?.s• <br />(� <br />I <br />DATE INSTALLED: !/ //�_ -7 {/ <br />A1' CLABOR <br />ON <br />I OFF SUB TOTAL <br />CODE <br />AND EOUIPMEN'f RENTAL HOURS <br />RATE <br />_ <br />41 <br />TOTAL <br />REMARKS: <br />