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I <br />No. W 1 30 / 4V <br />FIXED <br />' DEPOSIT s 5 7,-- <br />CI1 Y OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />SERVICE .l -' <br />ORDER NO. t <br />7 4pp <br />DATE-1 <br />tY <br />W. O. <br />SERVICE tRY ADDREE � SLK.-� LOT <br />OWNER,iAZ%t e-�'.__.—CONTRACTOi <br />�/ FLAT <br />INSTAL ,METERED 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. nDNED: X. _ <br />MATERIALS <br />IN. <br />I 1IN. <br />1 2IN. <br />PRICL <br />AMOUNT <br />PIPE - L,Q t�!�� �_ <br />COPPER •• GALV. -STEEL <br />p <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX <br />PLASTIC •- C 1 <br />METER VALVE ------ <br />METER No. , <br />METER BOX CONCRETE- <br />_ ,�_'��c�--_-,— <br />1 TY-a-" YPE. ` <br />t_�-SMALL <br />'ARO <br />I <br />- <br />-( <br />II <br />_Y44 <br />DATE INSTALLED: - <br />ON <br />I, OFF <br />SUB TOTAL <br />CODE <br />LABOR AND EOUIPMEN t RENTAL <br />HOURS <br />RATE <br />I <br />I— — <br />TOTAL <br />REMARKS:`u 044 6 f0 , ,f IV .z .I PAItl 01 f "..•>!'r1 C-C - <br />yi7EHI /?0c&f 0r I-'- Sj1.2N <br />