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w <br />. <br />• I <br />I <br />j <br />i <br />j <br />' APPL. �f' �O CITY OF EVERETT DSERVICE AA��® <br />ORDER f�_ 7233 <br />APPLICATION FOR WATER SERVICE (a . <br />FIXED DATE-�L-19_L_ <br />'DEPOSITS W. O. <br />❑ No. <br />SERVICE (BY ADDRESS) BLK._ LOT ADD. <br />OWNE CONTRACTOR <br />F <br />INSTAL ®5� ETE F c <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. 8IGNED:X._,'1 <br />-- <br />MATERIALS - - <br />-- <br />:Y4 IN: <br />1 IN. <br />I �2 IN. <br />PRICE <br />AMOUNT <br />PIPE ! COPPER -- GALV. <br />-- STEE!,- <br />CORPORATION t�&2 ,/ <br />I <br />CURB COCK OT <br />SERVICE BOX PLASTIC -- .0 L <br />METER <br />Z7 TYPE: <br />I <br />-- <br />-- <br />METER BOXO ArAL;l <br />LARGE <br />I <br />� <br />✓f <br />DATE INSTALLED <br />C_. L C� - / <br />A, ON <br />I OFF SUB TOTAL <br />- <br />CODE. I- LABOR AND EQUIPMEN"!-RENTAL <br />HOURS- <br />RATE <br />- <br />i <br />7 ®� <br />ba <br />ao icatlO Icy <br />_ <br />i <br />j <br />TOTAL <br />REMARKS: <br />i <br />