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APIZ'/¢ <br />No. C I `� 1 �I <br />-FIXED <br />DEPOSIT S 15� <br />APPLICATION FOR SERVICE <br />CITY OF EVERETT WATER DEPT <br />SERVICE ND. <br />2266 <br />ORDER <br />DATE <br />W. O. <br />SERVICE ``(BY ADDRIES11) Q1�J -T , i0p SL._St- BLK.L�LOT 10 AOD. ZloT_ <br />OWNERJ7AlkFl C•jUAFrP-Alt'g �L'f�ra CONTRACTOR <br />INSTALL._ ETER •--_ <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. SIGNED:X N <br />I — <br />MATERIALS <br />Y, IN. <br />I I IN. E IN. <br />-pj6 <br />AM NT <br />PIPE CCOPPERA- GALV. •- STEEL <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX PLASTIC - C 1 <br />1I--.METER VALVE -- - <br />METER R No. 's -3 (� TVPE: ' ._I. >f <br />�O <br />! <br />— <br />METER BOX CONCRETE <br />SMALL,' LARGE <br />T:'R SPA N If <br />_I <br />i I <br />_ <br />I <br />DATE INSTALLED: <br />/ <br />- �� _ j C• <br />ON <br />I] <br />I ❑ OFF <br />SUB TOTAL <br />CODS <br />LABOR AND EOUI►MEN'f RENTAL <br />HOURS <br />RATE <br />I I <br />- <br />I— <br />%Lee - <br />I <br />=' <br />- <br />TOTAL <br />REMARKS: <br />21-L L <br />