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APPI- p bE"VICE <br /> �QCJ/7 CITY OF EVERETT <br /> No. APPLICATION FOR WATER SERVICE ORDER //N—O.� / 8429 <br /> FIXED /� 7� 1 X !� DATE_! <br /> DEPOSIT : /�� Tn 41°STIWGrZ- -G-��13� /U J o0. <br /> SF,k VICEI I(ADORES ).vL✓ 8LK.. LOT—j-ADO.__ <br /> I <br /> OWNE " �� /l1�.--£+ CONTRACTOR <br /> LAL.� <br /> INSTALL- .3 SA Ti17f>i-ew EO IIt RVICE_.—_ <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 [ION[u: X <br /> MATERIAL[ 41N.I 1 IN.i 3 IN. I MICE AMOUNT <br /> PIPE _ _ COPPER••GALV.--STEEL _�� <br /> CORPORATION <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC -• C 1 <br /> METER VALVE__ <br /> METER <br /> .-� <br /> ._METER No. �p��j� -_ TYPE:/L'YfFI!/NG.I <br /> METER BOX CONCRETE SMALL LARGE <br /> I I <br /> ON <br /> DATE INSTALLED: OFF SUB TOTAL <br /> CODE LABOR AND EQUIPMENT RENTAL HOURS RAT[ <br /> I <br /> wl" be <br /> taken on SdML <br /> Ions withn IREMARKS: S D7L'h'flop� <br /> �� �An tit`' on�:I,L'aUnn <br /> .�sl <br />