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APP . � �p APPLICATICN FOR SERVICE <br />No. �' <br />CITY OF EVER'iTT 'WATER DEPT <br />IXED <br />❑ DGPOSIT !� <br />SERVICE (DY ADDREEgJ/6c <br />OWNER //O:5"--CONTRA, <br />SERVICE N2 1 8 4 3 <br />ORDER JfQQ <br />DA_1 B� <br />NOO' <br />*/ ADD <br />-it DAtAS <br />INSTALL_ UERVIG- <br />I HEREBY APPL 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 — <br />MATERIAL@ <br />14 IN. <br />I 1 IN. <br />1 E IN. <br />I <br />PRICE <br />AMOUNT <br />PIPE COPPER - GALV. - STEEL <br />CORPORATION <br />CLUfMjOCK OT c <br />SERVICE BOX PLASTIC -- C I <br />I <br />_ <br />I <br />METER VALVE <br />METER No. TYPE, <br />I H <br />METER BOX CONCRETE SMALL LARGE <br />S a ., <br />( , <br />I <br />I_ <br />6 ArcA U fkae�_ s7Dc.[¢ <br />I <br />_ <br />I <br />I <br />DATE INSTALLED: Z Z %11 I OFF SUB TOTAL <br />CODE LA@OR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />T _TeIIT s rk— <br />La/&I <br />17Z <br />I <br />—O-r/ <br />TOTAL <br />REMARKS: <br />