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APPL. /J��OSO �'J <br />No. L/ <br />241'�XED <br />I] DEPOSITS � -�-- <br />SERVICE (BY ADDRESS) <br />APPLICATION FOR SERVICE <br />CITY Of EVERETT WATER DEPT <br />-7/ <br />" FLAT <br />INSTALL N&TAarD SERVICE <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICES OF THE WATER DEPARTMENT NOW EXISTING <br />�u�ucen <br />.SERVICE NG 1450 <br />ER ��77� <br />DATE Z 6_I S_L <br />W. O. <br />No <br />_BLK. __LOT .—ADD <br />JTRACTOR. <br />SIGNED: X_--- <br />MATERIALS <br />w IN. <br />I IN. <br />S IN. I <br />PRICK <br />AMOUNT <br />PIPE <br />COPPER - GALV. - STEEL <br />I _ <br />CORPORATION <br />CURB COCK OT <br />(— <br />SERVICE BOX <br />PLASTIC -- C I <br />I <br />METER VALVE <br />-- <br />METER No. <br />TYPE: <br />- <br />METER BOX CONCRETE SMALL LARGE <br />DATEINSTALLED: <br />❑ ON <br />El OFF <br />SUB TOTAL <br />COOK <br />LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RAT[ <br />TOTAL <br />REMARKS: <br />