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APPL.! �O SERVICE <br />No. <br />NO. I f CITY OF EVERETT ORDER <br />APPLICATION FOR WATER SERVICE N�OS 044� <br />FIXED DATES��fL <br />Id DEPOSITS '0p 0. <br />SERVICE (MY AODeEU)--o7 / J • ■F .SLK— 45 LOT�ADD ` <br />OWNER— CONTRACTOR. .� <br />/ A <br />INSTALL_ BRED SERVICE <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING k� <br />OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED: X. t <br />MATERIALS K IN. 1 IN. I E IN. I PRICE AMOUNT <br />PIPE ��(���(�_ COPPER ._GALV.---STEEL <br />CORPORATION <br />F <br />_ <br />CURB COCK OT <br />SERVICE BOX < LASTIC C 1 <br />r <br />METER VALVE__ <br />— <br />METER No. TYPE: <br />METER BOX CONCRETE SMALL LARGE <br />— <br />�I�SDATE INSTALLED: � � OFF ` <br />I <br />� SUB TOTAL <br />CODE LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />I� <br />i <br />TOTAL <br />REMARKS: <br />