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APPL. ( Y/ APPLIC:AT'.ON FOR SERVICE SERVICE Nn 465 <br /> No,974z/ ORDER <br /> /J CITY OF EVERET7 WATER DEPT. <br /> yDyATE —10_ <br /> FIXED <br /> DEPOSIT s /V G�.(��[) 0 'L Noo <br /> LOT/�,(j - <br /> - <br /> OWN = CONTRACTOR- '" 2�J«fl/�--� - <br /> INS L�LlME�RED SERVIC e'4' k. W1 - <br /> I HEREBY APPLY FOR THE I1SE OF WATER IN ACCORDANCE WIT HE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HERFAFTER CHANGED. <br /> MATERIALS YI IN. I IN. It IN I PRICE AMOUNT <br /> PIPE _ COPPER-GALV.-STEEL / . / 99 <br /> CORPORATION <br /> CURB COCK .WF <br /> — 1 <br /> SERVICE BOX PLASTIC -- C 1 <br /> METER VALVE _ <br /> METER No..4C� /'� TYPE: <br /> METER BOX ONCRETfi SMAL LARGE _ <br /> I/ - <br /> I <br /> Ey-CIN <br /> DATE INSTALLED: H— /9 -r- �'OFF SUB TOTAL <br /> s. <br /> CODE LABOR AND EQUIPMEN TRENTAL HOLIP9 :RATE <br /> TOTAL A-V <br /> REMARKS: 1 - <br /> I'r <br />