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i <br /> 0 <br /> APPL. ��� <br /> No. ! CITY OF EVERETT oROEA"ErFNO 7942 <br /> APPLICATION FOR WATER SERV CE Q2 <br /> IXED lees' GATE- /�-7.1-✓_..iB <br /> n DEPOSIT = Tn nnSTI Nf�z��� W. o. <br /> //// Ng�o. . <br /> SERVICE 1Br DRESEI_f� - BLK._ LOT>�LADD._- <br /> OWNE 1,(J� CONTRACTOR <br /> FLA <br /> INSTAL R 6- <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 /> MATERIALS I4 IN. 1 IN. E IN. PRICE AMOUNT <br /> PIPE COPPER-•GALV.••STEEL <br /> -- <br /> CORPORATION <br /> CURB COCK OT —�— - <br /> SERVICE BOX PLASTIC •• C I `) <br /> METER VALVE - <br /> METER No. TYPE: -- ---- -- - - -- <br /> METER BOX CONCRETE - SMALL LARGE <br /> i <br /> ON <br /> DATE INSTALLED: /G / �/ I OFF SUB TOTAL <br /> CODE / LABOR AND EOUIPMENl RENTAL Noun% RATE <br /> --YyMf'-De-B eTi n pR BBrvice-- <br /> - <br /> IT <br /> REMARKS: TOTAL <br /> �iAun <br /> �T _ <br />