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No. a 3 as SERVICE <br /> No. CITY OF EVERETT ORDER No. 5089 <br /> APPLICATION FOR WATER SERVICE <br /> FIXED DATE_7� ' ✓-199— <br /> DEPOSIT NO O. 1. <br /> ` ' L �� p sig 4-gy <br /> SERVICE (BY ADDREg) 6,t q l0 &O -S0A A •,O� ZBLK.. LOT-ID <br /> OWNE"J" Ad (A) Q1A,4 _CONTRACTOR <br /> �� p <br /> INSTALL' =LTRA ETERE _ ERVICE <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 MAI BE HEREAFTER CHANGED SIGNED:% <br /> MATERIALS k IN. I IN. E IN.� PRICEAMOUNT <br /> PIPE COPPER-GALV..•STEEL <br /> CORPORATION <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC •• C 1 <br /> METER VALVE <br /> METER No. '77� TYPE: _-- <br /> METER BOX CONCRETE SMALL LARGE <br /> L — <br /> Fokil I <br /> ON <br /> DATE INSTALLED: 'ZJ10� OFF SUB TOTAL <br /> CODE I LABOR AND EOUmIPMENf RENTAL HOURS RATE <br /> TOTAL <br /> REMARKS. <br />