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„ ppL, 9 7 / APPLICATION FOR SERVICE an <br /> NO. E N2 402 <br /> Z <br /> 1961 CITY OF EVERETT WATER DEPT. v -- gD' <br /> o i /_ <br /> (d FIXED <br /> DEPOSITS q No ---- <br /> SERVICE. (e OOR )�'?` �O - (3LK. LOT ADD— <br /> ' <br /> -Y/LA' �•Y/ n Y <br /> OWNER « .—CONTRACTOR <br /> FLAT <br /> INSTAL _-M4Te"D SERVICE <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE . L L, /_ _ Q <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING BIONEo:X_ <br /> ��� G /�i��=�—c� <br /> OR AS SAME MAY BE HEREAFTER CHANGED. <br /> MATERIALS II, IN.I I IN. 3 IN. PRICE AMOUNT <br /> PIPEPPER GALV.—STEEL / _I <br /> CORPORATION <br /> ,,CURB COCIj 07) <br /> SERVICE BOX ST16 •• C I <br /> METER VALVE ______ __ - <br /> METER NO. TYPE: <br /> METER BOX CONCRETE SMALL LARGE _ <br /> OTAL <br /> SUS <br /> I I <br /> I <br /> �j ON /^' <br /> DATE INSTALLED: I OFF r' ” f 1 r T <br /> COD[ LABOR AND EQUIPMENT RENTAL HOURS _RATE O <br /> I (blt4ge21. <br /> Iq <br /> I <br /> TOTAL <br /> REMARKS: <br />