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APPL. n /--JAL/ i <br />No. p( <br />❑ FIXED <br />❑ DEPOSIT s <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />SER 110E <br />ORDER <br />o (� <br />DATE IVO- _45 81 g <br />1115 <br />No O. <br />` i <br />SERVICE (BY ADDRESS)gAt gJ74) 40 BLK._ LOT ADD <br />COIVTRACTOR_i <br />OWNE <br />N FLA <br />INSTALL METER <br />I HEREBY APPLY FOR THE U IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />MATERIALS <br />Y. IN. <br />1 IN. i 2 IN. <br />I <br />PRICE j <br />AMOUNT <br />PIPE COPPER -- GALV. -- STEEL <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX PLASTIC -- C I <br />METER VALVE <br />METER No. it 9 ` : YPE:,),..e G ,5 mil ,i <br />METER BOX CONCRETE SMALL LARGE <br />., /.. <br />DATE INSTALLED: /e,7 <br />•7 <br />JON <br />I 0 OFF SUB TOTAL <br />CODE I LABOR AND EQUIPMEN f RENTAL HOURS <br />RATE <br />=ice CG97 A-C,e f <br />rS <br />- - <br />TOTAL <br />REMARKS: <br />