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APPL.. IIf APPLICATION FOR SERVICE SERVICE N_ 290 <br /> l9�7 F CITY OF EVERETT WATER DEPT. DAD <br /> �{ FIXED <br /> r� <br /> DEPOSIT W.0. <br /> L /04Q . / X ,11 Q.' — <br /> SERVICE In AD/Fs[PHUHIIIf �' -- ' "/ SLK. L7OTT'It DD. <br /> CONTRACTOR <br /> INSTALL—METERFD SERVICE -- <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> (H )INANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> AS SAME MAY BE HEREAFTER CHANGED. SIGNED:% <br /> MATERIALS 'A IN. 1 IN.I E IN. PRICE AMOUNT <br /> PIPE (CO EPPR)•GALV. <br /> CORPORATION _ <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC - C I <br /> METER VALVE <br /> METER No.[ � TYPE <br /> METER BOX € BMRGI Eif 03 <br /> n {{ — <br /> ,11 <br /> t -v / 3 <br /> I _ <br /> rrON3 '�`7 <br /> '/ <br /> DATE INSTALLED; / - L , � OFF SUB TOTAL���t..-LPiL-. - <br /> COOK I LABOR AND EQUIPMENT RENTAL HOURS RATE <br /> I _ . I <br /> c <br /> TAL Iq0 F <br /> REMARKS: <br />