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APPLI6 �7� <br />NO. �''((((��,, VVWIPP <br />FIXED <br />DEPOSIT S loco - <br />El <br />APPLICATION FOR SERVILE <br />CITY OF EVERETT WATER DEPT <br />SERVICE W 2369 <br />ORDER <br />DATE��-. 1117�_ _ <br />10' - <br />SERVICE <SY AOORUE) �� �j�7 ��� �T � BLK LOTI � ADD: �g� - <br />OWNER �.'^—�"---,", --CONTRACTOR - C K� <br />FL <br />INSTALL--- TERED SERVICE ----- <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTINGft SIGNED: IX <br />UN AD OARL Inn: <br />o ncn..rn .....-.. <br />MATERIAL <br />II IN. <br />1 IN.. 1 IN. <br />PRIG <br />AMOUNT <br />PIPE <br />COPPER <br />GALV. -- STEEL <br />CORPORATION <br />-- <br />• <br />—' <br />URB COC <br />' SERVICE BOX <br />OT <br />PLASTI <br />-- C I <br />—I-- <br />— <br />METER VALVE <br />METER No. <br />TYPE: I <br />11- <br />METER BOX <br />CONCRETE <br />SMALL LARGE <br />— <br />I <br />I <br />I DATE INSTALLED: <br />ON <br />OFF <br />SUB TOTAL <br />CUOt LABOR ANO EQUIPMENT RENTAL HOURS RATE <br />I I °Ajp----I - <br />I <br />I i <br />- <br />I- I <br />I <br />TOTAL <br />{ <br />I REMARKS: /JC�G� <br />r <br />-- <br />