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APPL.' 7 (p�Q FJ <br />APPLICATION FOR SERVICE <br />SERVICE N2 <br />906 <br />J� i; /,( <br />CITY OF,()EVERETT WATER DEPT. <br />ORDER ^ n <br />4 i <br />cl FIXED <br />�./� - -, ._� <br />(J�77.ct cr'c'. <br />DATE <br />— ID� <br />��Ls <br />DEPOSIT yL4�_� <br />No 0• <br />SERVICE (BY ADDRESS) /3/ Y, 3--------BLK. LOT-_ ADD <br />FLAT <br />INSTItl_I -/'T METERED SERVICE- <br />1 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 />SIONEDI <br />MATERIALS <br />A IN. <br />I I IN. I ■ IN. <br />I <br />PRICE <br />AMOUNT <br />PIPE <br />COPPER - GALV. - STEEL <br />55 <br />3195 <br />_ _ <br />CORPORATION <br />_�I <br />3IL- <br />r.URSCOCK' <br />SERVICE BOX <br />LASTICI- C 1 <br />K <br />METER VALVE <br />NO. <br />_TYPE: H <br />- <br />--METER <br />-- <br />METER BOX CONCRETE SMALL LARGE <br />DATE INSTALLED:�f /C/ <br />-`' <br />I AN <br />OFF <br />SUB TOTAL <br />/ <br />CODE <br />LABOR AND EOUIPMENI RENTAL <br />HOURS <br />RATE <br />;2 <br />7 l <br />i e <br />-JI <br />I <br />/� 2 ----- <br />3. S`O <br />TOTAL <br />-7 <br />I J� <br />S6' <br />REMARKS: <br />