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APPL. y�//2 n CITY OF EVERETT <br />NO. C <br />APPLICATION FOR WATER SERVICE <br />9-FtiED TO POSTING_ <br />❑ DEPOSIT S Ji <br />y ti j7 (O'1-5�73 <br />ORDER SERVICE <br />QN0- 7573 <br />DATE�1 - J..- _ ..1Y— <br />W. O. <br />No.----__._ _ _ _. <br />SERVICE INY ADDDR9661 Z <br />OWNER-- / �i��-�C -.__—CONTRACTOR. <br />7// / FLAT <br />INSTALL.-.1.Y -- EKED 8 E---. -- ---- WITH ------ <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WIiNG�</�CE" <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW TH TING L <br />OR AS SAME MAY BE HEREAFTER CHANGED. •IONED: - --- - <br />/7 MATERIAL" <br />PIPE l% (/�j y> COPPER •• GALV. -- STEEIi�,, <br />CORPORATION <br />CURB COCK OT <br />16 IN. <br />L <br />i 1 IN. <br />1 <br />_ <br />PRICE <br />_ <br />AMOUNT <br />-- <br />SERVICE BOX PLASTIC •• C I <br />METER���9y___-__ <br />METER NO(Jf�7,%%-j (iV 7- TYPE: <br />METER BOV CONCRETFIPAt-2 AL LARGE <br />p ON <br />DATE INSTALLED'. 7!� �j I I(�, OFF <br />SUB TOTAL <br />CODE LAlOR ANO EDUIPMENf RENTAL <br />HOURS <br />RATC <br />TOTAL <br />REMARKS: <br />