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Vs�HVIC <br /> No�La91/�j CITY OF EVERETT ORDER N2 7569pp�, <br /> APPLICATION FOR WATER SERVICE /!L /� GATE 3--18Ji2 <br /> FIXED <br /> ❑ DEPOSIT s /p5 I_ TO P.STI N G - -�� N <br /> SERVICE - ADDREEEI a/o 30 51 � S14/ BLK..— ._LOTCPO ADD. <br /> OWNER— nn CONTRACTOR_ <br /> F <br /> INSTAL 3 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 MAY BE HEREAFTER CHANGED EIGNEO: % <br /> MATERIALS V. IN. I IN. , A IN. I PRICE AMOUNT <br /> PIPE COPPER•-GALV_•-STEEL <br /> L <br /> CORPORATION <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC •• C 1 <br /> METER VALVE _ <br /> METER NO. .fl <br /> METER BOX CONCRETE SMALL LARGE <br /> r� ON <br /> DATE INSTALLED: /�� 7�,�y. S FE" OFF SUB TOTAL <br /> COOK V 7 (/ LAI ANI AND WUI►MENf RENTAL HOURS RATE <br /> --� -- --- ---- -- --- —;�I. . I ACTT <br /> ON <br /> -- -- <br /> II be ken onTsmi. <br /> w,jucanms wltt+gdTAL <br /> REMARKS: <br /> /v�59 <br />