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APPL. <br /> No. /IC (� CITY OF EVERETT SERVICE <br /> APPLICATION FOR WATER SERVICE <br /> j ORDER N_ <br /> d-- y7/yp85 <br /> �iFIXED / / r7/'7 5Z DATE��y <br /> o DEPOSITS lzk�__TO POSTING- <br /> SERVICE (BY <br /> OSTING_SERVICE (BY AEORUSI /� T�,( -,h 4/L/ <br /> / II I JL <br /> —BLK_.___LOTOWNER--1�12'1CONTRACTOR <br /> 3 INSTAL __ ED SERVICE_ <br /> I 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 SIGNED: % _ <br /> M LE MIn, 1IN, <br /> COPPER <br /> PRICE AMOUNT <br /> _PIPE _ COPPER •• GALV.••STEEL --�I <br /> CORPORATION -- - <br /> CURB DOCK OT i <br /> SERVICE BOX PLASTIC -- C 1 <br /> METER VALVE <br /> METER No. <br /> METER BOX CONCRETE_ SMALL LARGE i -- <br /> ON <br /> CJ f o7�i/ I <br /> DATE INSTALLF D / OFF SUB TOTAL <br /> CODE LABOR AN EOUIPME N I R ENTAL <br /> HOURS RATE <br /> IIV1. <br /> --- — ---- — YIli1LbB._taken-_nn <br /> alTplications without a <br /> aC Ow rrventlon Consultation <br /> TOTAL <br /> REMARKS: ✓� �,Ai,L 1p�--p �, __. _ _--._ _ __ <br />