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I <br />APPL. ' <br />No. 23i7 <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />IXED <br />r7 DEPOSITS �j7�• <br />SERVICE (BY <br />YADD�R�O�[)`—� /�-O 7S 4aI w BLK.. LOT <br />CI OWNERr59/yreYl.. <br />2 .. CONTRACTOR <br />INSTAL F <br />_ ER ED SERVICE_ I I <br />I HEREBY APPLY FOR IN ACCORDANCE WITH THE <br />ORDINANCES AND Pm Irlrc n Tur w..ee ............... .. _... _...__..._ <br />SERVICE <br />ORDER IV99, <br />J J ( J <br />DATE <br />W. O. <br />ADD. _ <br />vN AS SAME MAY BE HEREAFTER CHANGED. .. ... .... ­­ <br />SIGNED; X <br />• <br />MATERIAL[ <br />A IN. <br />1 IN. [ IN, <br />I <br />PRICE <br />AMOUNT <br />PIPE <br />COPPER — GALV. — STEEL <br />CORPORATION <br />CURB COCK <br />OT <br />I <br />'— <br />SERVICE BOX <br />PLASTIC .. C 1 <br />METER VALVE <br />METER No._TYPE: <br />METER BOX <br />CONCRETE _ SMALL LARGE <br />DATE INSTALLED: <br />` i <br />ON <br />� OFF <br />SUB TOTAL <br />CODE LABOR AN D EQUIPMENT RENTAL <br />HOURS <br />RATE <br />D <br />NTl41c 7 <br />TOTAL <br />J <br />