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APPL. p 7 1 /1 <br />❑ FIXED <br />❑ DEPOSIT s ( <br />SERVICE (BY ADDRESS) <br />OWNE <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />F3Lb(� L <br />J1 FLAT <br />INSTALL C� h(€TEREDd VICE <br />BLK. <br />SERVICE <br />ORDER <br />DATE <br />w. O. <br />No <br />LOT ADD <br />CONTRACTORS%", L� <br />I 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. <br />SIGNED: X. <br />MATERIALS <br />3/4 IN. <br />1 IN. 2 IN. <br />I <br />PRICE <br />AMOUNT <br />PIPE COPPER -- GALV. -- STEEL <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX PLASTIC -- C I <br />METER VALVE <br />__ <br />___ <br />METER No. g / 91 TYPE:pr.c 1S /0,40i 54 <br />METER BOX CONCRETE SMALL LARGE <br />DATE INSTALLED/0-3f - e8/I <br />ON <br />0 OFF SUB TOTAL <br />CODE I LABOR AND EQUIPMENT RENTAL HOURS <br />RATE <br />qc.,/p-rell-e,---i---•ip <br />1 <br />I <br />-_ <br />TOTAL <br />REMARKS: <br />