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NoPL. n./06c:3 <br />n FIXED <br />0 DEPOSIT $ <br />cc <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />SERVICE (BY ADDRESS) » / / 4/gel') <br />OWNER 1) JC=IS L L. S/-, <br />INSTAL <br />91 <br />f <br />• <br />METERS SERVICE <br />SERVICE <br />ORDER <br />DATE <br />W. O. <br />No. <br />BLK. LOT. ADD <br />CONTRACTOR2 <br />I HEREBY APPLY FOR THE THE U$E Or WATER- TH ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />%?-1Y <br />SIGNED: X <br />Ld•'lWK�-yi <br />L <br />MATERIALS <br />3 IN. <br />1 IN. 2 IN.' <br />I <br />J-^� <br />PRICE <br />AMOUNT <br />PIPE COPPER -- GALV. -- STEEL <br />CORPORATION <br />Mr <br />CURB COCK OT <br />SERVICE BOX PLASTIC -- C I <br />METER VALVE <br />___ <br />__ <br />METER No. / ! / TYPEprec s/D,j <br />METER BOX CONCRETE SMALL LARGE <br />, <br />DATE INSTALLED: /d 3/- [] <br />. ON <br />(pr OFF SUB TOTAL <br />CODE I LABOR AND EQUIPMENT RENTAL ( HOURS <br />RATE <br />c c) 77/'1 C7,4z-12):,-e-•r ,I' <br />i <br />TOTAL <br />REMARKS: <br />0391*CONT INUE:K <br />