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APPL./ / 24 APPLICATION FOR SERVIC, SERVICEN° 105 <br /> NO. / 'fORDER c / <br /> n/ ��/ CITY OF EVERETT WATER DEPT. ��/ � <br /> F �C 1 DATE - _-1fI�. <br /> 00 W.0. <br /> ❑ DEPOSITS �� \ / /p� • o.T__ <br /> SERVICE 4Ev AD a el �D " BLK LOT -lam DD. <br /> OWNER —CONTRACTORIJ - —— <br /> • FLAT <br /> INSTALL YmeamSERVICE <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING eIONEO: X •'� / "��/ <br /> OR AS SAME MAY BE HEREAFTER CHANGED. <br /> MATERIALS 'A IN.I 1 IN. I E IN. I ' PRICE AMOUNT <br /> PIPE tCOPPE�16�1­6ALV.—STEEL I — <br /> _� <br /> CORPORATION <br /> CUre COCR`)---OT <br /> SERVICE BOX �LASTIG�-• C I I J <br /> METER VALVE -- <br /> METER No. TYPE: [S _ <br /> METER BOX CONCRETE SMALL LARGE _ <br /> II <br /> ON <br /> DATE INSTALLED: �'FF SUB TOTAL / <br /> CODE LABOR AND[OUIPM[NT RENTAL HOURS RATE <br /> -- -- _ TOTAL O <br /> REMARKS: L <br /> I <br />