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A <br />APPL. No. 4; s i GI rj <br />/ CITY OF EVERETT SERVICE <br />ERVI ENO. 4954 <br />APPLICATION FOR WATER SERVICE <br />FIXED DATE_-0 _19_1Q <br />El DEPOSITS (� 111 <br />� W. O. <br />No. <br />SERVICE ur ADDRESS) dl � i " %��LL Lj'7 LOT-' �! <br />BLK._ <br />OWNER_ cx /T)__CONTRACTOR�CLN1/ <br />�� LAT — — <br />INSTAL <br />RED SERVICE_. <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING OR AS SAME MAY BE HEREAFTER CHANGED. <br />MATERIALS 1G IN.I 1 IN. E IN. <br />II PRICE AMOUNT <br />PIPE <br />OT <br />SERVICE BOX ASTI . C I <br />METER VALVE —II— <br />METER No. --_--TYPE: ILARGE <br />IMETER BOX CONCRETE SMALL —'!I <br />%. <br />OATS INSTALLED: !%/' I O OFF <br />COOL 1 (�f�LABBOOR AND E�DUIPMENf RENTAL <br />I <br />REMARKS: <br />—SUB TOTAL <br />HOURS I RATE <br />