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APPL. SER <br /> No. 2 -3a3 _ CITY OF EVERETT ORDER E NO. 5087 <br /> APPLICATION FOR WATER SERVICE <br /> FIXED DATE /M� cY/ too <br /> DEPOSITS ��ce) �`p �� W, 0. 9 <br /> SERVICE iBY ADDRES�B•�'-��(���/7�A+�� ®5 M�— -jt SLK.- � �(,,L�O�T-22 Atk `�� <br /> OWNER.__ 1 `� --by'1/w-Il�YT CONTRACTOR-latl7f�l� <br /> INSTALL ETEREA SERVICE–_ — <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. ■IGNEO: X .- <br /> MATERIALS s IN. 1 IN.1 EON. PRICE I AMOUNT <br /> PIPE COPPER--GALV.-STEEL <br /> CORPORATION <br /> CURB COCK OT <br /> SERVICE BOX FLASTIC •• C 1 <br /> METER VALVE <br /> METER NO. ''722 -- TYPE: _— I M ---- -- -- - <br /> METER BOX CONCRETE SMALL LARGE <br /> P <br /> \ ON <br /> DATE INSTALLED: I i _I�/..K7� I OFF SUB TOTAL <br /> CODE [' r•• aLABOR AND EGUIPMENf RENTAL HOUR% RATE <br /> I <br /> no 5s;Vb <br /> TOTAL <br /> REMARKS: <br />