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APPL /%% / �J APPLICAl'JON FOR SERVICE <br />No, G' 7 ([Y� / CITY OF EVERETT WATER DEPT. <br />FIED" <br />DEPOSITS l <br />-9ERVICF./Isy1�ADfq/Rn[t BLLK_. <br />I �7!—li �. CONTRArTORL <br />FLAT <br />INSTALL'=LLMffi:j[ED SERVICE ---- <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING SIGNED: X, <br />SERVICE N° 736 <br />OR ER r <br />DAT —1r=' <br />W. O. <br />-LOT ADD <br />-_! a-L - <br />UK A] DR.. RI.. ec ec....... r.. �...... <br />MATERIALS <br />!1 IN. I <br />PRICK <br />AMOUNT <br />PIPE PE -- GALV. - STEEL <br />'j , <br />. <br />�5(e <br />/ <br />I <br />CORPORATION <br />/ <br />— <br />URB COCK' OTI <br />SERV'CE BOX PLASTIC - C I <br />I <br />-- <br />c <br />METER VALVE <br />METER No. TYPE: — H <br />-- <br />— <br />�IC <br />METER BOX CONCRETE SMALL LARGE <br />I <br />DATE INSTALLED: ,y -� <br />N <br />SUB TOTAL <br />OFF <br />� <br />�j <br />�1 <br />LABOR AND EQUIPMENT RENTAL <br />C008 <br />HOURS <br />RATE <br />- <br />TOTAL <br />o <br />b <br />RE _. NNI- <br />REMARKS: f <br />