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No.APPL. <br />FIXED <br />DEPOSIT s (at) v`u <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />SERVICE (BY ADDRESS)d laBLK <br />OWNER— <br />: (bn <br />() II FLAW <br />INSTALL ERVICE <br />CONTRACTOR <br />SERVICE <br />ORDER <br />��0$Q& <br />DATE <br />W. O. <br />No <br />LOT <br />ADD <br />1 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 />/»LY& 06-m44,4 / <-& . ec <br />SIGNED: XQ•/' ` CL ?-J 09,0176 <br />MATERIALS <br />3/4 IN. <br />1 IN. I 2 IN. <br />I <br />PRICE <br />AMOUNT <br />PIPE COPPER -- GALV. -- STEEL <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX PLASTIC -- C 1 <br />METER VALVE <br />METER No. / 9 TYPE:,/zt/S/4,Cj) ,4 <br />I' <br />METER BOX CONCRETE SMALL LARGE <br />i>4 <br />DATE INSTALLED: /U -3 / _ r/ O <br />ON <br />(0 OFF SUB TOTAL <br />CODE I LABOR AND EQUIPMENT RENTAL HOURS <br />RATE <br />A cY-i,..--Q-2,-Voci `9 <br />TOTAL <br />REMARKS: <br />