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APPL. 'A�/R_��� 3ERVICE � -:�� <br />IJO. �` CITY OF EVERETT ORDER N0. .-�-�� <br />HPPLICATION FOR WATER SERVICE / / <br />DATE� �-7 �9�� <br />C FIXED � 0 <br />/ /� W. G. <br />C DEPOSI7 S l�0 _ No.-- — <br />SERVICE(BYADDRE88)��'x �+.�_J- � - L'�r .BI.K._—_LOT._d� ADO.�ry-y� <br />fryL�L6 <br />OWNER_—.— . — —GONTRAGTOR — —_—. <br />f/ (���-y'j <br />IASTAL �j/ RiETERED SERVICE_ _— - <br />I HEREBY APPLY FOR THE USE Of WATER IN ACCORDANCE WITFi ?�iE <br />ORDINANCES AND POLICIE� OF THE WATER DEPARTMENT NOW EXIS7ING �� �,�0' <br />OR AS SAME MAY BE HE.,EAf°iER CHAN6ED. Blw�eo. ._ -- ----- <br />MATERIALS ii�N.I �YIN.� IN.I � � PRIGE 1I-. �AMOUN—T <br />PIPE COPPER -- GALV. - STEEL I I I i I �I I <br />CORP�7RP.TION <br />CURB COCK <br />SERVICE BOX <br />ME7ER VALVE <br />METER Nc. <br />METER BOX <br />OT <br />PLASTIC -- C I <br />TYPE: � a5 <br />CONCRETE SMALL LARGE <br />IATE INSTALLED: <br />COOE I <br />REMARKS: <br />p K/ ON <br />-1 Z� U Z f� OFF <br />LAOOR ANDEOUIPMENfRENTAL <br />/� <br />_ �� !i-��2�1 <br />-�F Z / � <br />SUB TOTAL <br />HOURS I RATF <br />n <br />TOTAL <br />