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AVOL. ( APPLICATION FOR SERVICE <br />No. I( <br />CITY OF EVERETT WATER DEPT. <br />SERVICEIV2 33 <br />ORDER l <br />DATE F-� 2- _Iglu / <br />FIXED <br />T,7( DEPOSITS W. O. <br />.2. S '— No,---- <br />(/�� <br />jl �j A f) /_-;9SI Lie- <br />SERVICE(BY ADDRESS)— %Jf- T '�� —'w �----6LK. LO-3L%—ADD.__ <br />T � L <br />OWNER _ —_ _—CONTRACTOR R�< < S `-�1 C ✓ eL• h ��' <br />., Tt-AT /Owy�Gor.�i_'.r: i.-_ay �t.•e_ <br />INSTAL /L _ME.TERED SERVICE—. — <br />! HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED: Xa <br />PIPE <br />CORPORATION <br />MATERIALS <br />C P EPP EP R - GALV. -- STEEL <br />bS IN. <br />I IN. a IN. <br />PRICE 1 <br />AMOUNT/ <br />CURB COCK <br />OT <br />SERVICE BOX <br />PLASTIC -- C I <br />METER VALVE <br />METER No. TYPE :rI I <br />- <br />- <br />METER BOX <br />CONCRETE) MALL LARGE <br />I <br />ep <br />_� <br />__ <br />\5Gl <br />ON <br />DATE INSTALLED: �-4FF �� .�- SUB TOTAL <br />CODE <br />LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />3 r 1 <br />-- <br />I <br />-- ----I- TOTAL <br />41 / <br />I'1C1 <br />REMARKS: <br />