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APPL. �if APPLIL,ATION FOR SERVICE <br /> No. o`' 7 SERVICE Nn 1797 <br /> CITY OF EVERETT WATER DEPT. ORDER <br /> n FIXED DATE 19 �3 <br /> N O. <br /> J SERVICE (BY ADDRESS).-./J...�^ W _J/ <br /> SLK.—LOT---ADD.— <br /> OWNER_ RLY"--�-�� �/ y� <br /> i �-"-� - —CONTRACTOp <br /> d FLAT <br /> INSTAL —_METERED 6ERVICE_____.—_ _ <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. <br /> ' SIGNED:X.. �'-- <br /> MATERIALS �— 'AIN. 1 IN. * IN.. <br /> I PRICE AMOUNT <br /> PIPE COPPER-GALV.-STEEL <br /> CONIPORATION -- <br /> FCURB COCK OT <br /> SERVICE BOX PLASTIC .• C 1 <br /> METER VALVE <br /> METER No. — -- --- <br /> f TYPE: <br /> METER BOX CONCRETE SMALL LARGE <br /> 1 <br /> DATE INSTALLED: I [� ON <br /> U OFF SUB TOTAL <br /> CODE <br /> 1 LABOR ANO EQUIPMENT RENTAL <br /> HOURS RATE <br /> REMARKS: TOTAL <br />