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APPL. ArPLICATION FOR SERVICE SERVICEN2 472 <br />No. ORDER., <br />CITY OF EVERETT WATER DEPT. ������JJ�� ii �; _ /p <br />FIXED DATE_ ) <br />DEPOSITS �C�O. C''^Jj yn NW. O. !// <br />SERVICE (SY ooRpq "� �� / �// BLK. LOTDD _ <br />OWNER t.(-� `2 CONTRACTOR <br />INSTALI—FLAT <br />RIND. SERVICE _ <br />I HEREBY APPLY 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: <br />_ <br />MATERIAL[ <br />I%IN.I <br />I IN.1 <br />[IN. <br />RRICIE <br />n AMOUNT <br />PIPE <br />COPPER -• GALV. — STEEL <br />0 <br />CORPORATION <br />2 <br />✓ <br />O <br />G <br />J <br />URB COC T <br />/ <br />SERVICE BOX <br />PLASTIC — C I <br />_METER VALVE <br />—METER No. <br />TYPE; <br />-- <br />METER BOX CONCRETE SMALL LARGE <br />� <br />d155 <br />ON <br />DATE INSTALLED: %n (� �4F <br />SUB TOTAL <br />COD[ <br />- <br />LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />TOTAL <br />..F.";Ar; n�: <br />