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APPL+r - i APPLICATION FOR SERVICE SERVICE N! 1 8 6 B <br /> ND. CITY OF EVERET+ WATER DEPT. ORDER <br /> 1 ED <br /> XDATE � <br /> ElDEPOSIT s/ZS•� W.O <br /> No.— <br /> SERVICE ( Y ADDRESS) �S �r - -- ULK._- -LOT--ADD. <br /> OUd... C /92 M �G A•7/�l Cl— —CONTRACTOR _ <br /> FLAT <br /> INSTALL—.� McTIRLD SERVIC <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. eloN[D: Y H <br /> MATERIALS Ai IN.I I IN. E IN. I PRICE AMOUNT <br /> PIPE COPPER GALV.»STEEL <br /> CORPORATION _ <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC •• C 1 •;� <br /> METER VALVE _— <br /> METER No. TYPE: _I K _ <br /> METER BOX CONCRETE SMALL LARGE _ <br /> I <br /> ON � <br /> DATE INSTALLED: _/ Z OFF, + SUB TOTAL <br /> COO[ I LABOR AND EQUIPMENT RENTAL HOURS RATE <br /> QvK-Aorz 'd- ----- - — ----- I- — —moi—�* <br /> TOTAL <br /> REMARKS: __ <br />