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APPL. <br /> No. / CITY OF EVERETT SERVICE o N_ 7 G 0 3 <br /> _ APPLICATION FOR WATER SERVICE ORDER <br /> Er'f'XED 1441/df( 7k DATE B__ <br /> p DEPOSIT ,_ Tn PWING s--"I� <br /> SERVICE (BY ADDRpB)/-�,J 7"' (/�.Ii SLK.._._LO�AD�/YYfJ t <br /> OWNE�FLAT iF_-4'K•A'►MJ•L•"nYd•Ll <br /> u ---CONTRACTOR__ <br /> INSTALL_ REDS VICE - _ <br /> 1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING • ;I,/('�/`RyA,/ <br /> OR AS SAME MAY BE HEREAFTER CHANGED <br /> _ SIGNED; <br /> MATERIALS IIi IN 1 IN 1 IN. 1 <br /> PIPE '. PRIG[ AMOUNT <br /> COPPER-• GALV.•- STEEL <br /> CORPORATION - <br /> CURB COCK OT i <br /> _- <br /> SERVICE BOX PLASTIC .. C I <br /> METER VALVE -- <br /> METER No. � 4 � <br /> ��TYPE:A�iyTNC <br /> METER BOX <br /> CONCRETE SMALL LARGE <br /> I <br /> R7 ON <br /> DATE INSTALLED: _ �., ❑ OFF SLID TOTAL <br /> COO[ I LABOR ANO EOUIPMENf RENTAL <br /> /^��--- - IAURS PAT[ <br /> —I WIIIbe taken on srrvicd <br /> IIca 0115 W,mf-)a-a -I <br /> -- I ----°-.Gkflgw amVeRtjGR-(ieFatlil B� <br /> TOTAL <br /> REMARKS: L �L 'fin�T/� <br />