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•APPL. 1 S S 6(a A? COITION FOR SERVICE oRoV,p No 1 1 8 <br />No. <br />�r CITY Of EVERETT WATER DCPT. ( l <br />N E . C - DATE' <br />O FIXED )t Lf�c µ // / <br />DEPOSIT S � n ""' ' , ' 2 -- - f Nb�—_ <br />-i��j ✓ - : � 7� "' BLK.- LOT- ADD <br />SERVICE IDr ADORuq -- <br />O NER - cunlNn�.:vn_ <br />litpt�� ��� FLAT <br />IMETZRgg.SERVICK <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE /7 9 <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING •ZONED: <br />CID At SAME MAY BE HEREAFTER CHANGED. 7 <br />MATERIALS <br />w' IN. <br />1 IN. <br />I E QYY <br />PRICE <br />AMOUNT <br />PIPE <br />COPPER -- GALV. - STEEL <br />771 <br />CORPORATION <br />OUR OCB CK <br />s <br />SERVICE BOX <br />PLASTIC -- C t <br />METER VALVE <br />METER NO. <br />TYPE: 14 <br />_ <br />— <br />- <br />METER BOX <br />CONCRETE SMALL LARGE <br />I <br />_ _ <br />I I <br />I <br />DATE INSTALLED: / /�/ 7 D I DOFF <br />r I 1 r� SUB TOTAL <br />38 <br />CODE I <br />LABOR AND EQUIPMENT RENTAL <br />HOURB <br />RAT& <br />lt <br />T-1 <br />� <br />------ <br />rr i . _-------- - ------------ <br />I.1� <br />�cJL� <br />� � <br />7 /' <br />— <br />TOTAL <br />�r / n <br />REMARKS: 7 A, t _L_/11— _1 c� � _ . 1 ./l . . L ---__ _ <br />