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AFPL. 20533 APPLICATION FOR SERVICE SERVICE N! 1219 <br /> No. <br /> r ORDER <br /> A :qCITY OF EVERETT WATER DEPT. <br /> FIXED DAT <br /> DEPOSIT / y/ NCO' <br /> SERVICE (BY ADDRESS) 26 � � BLK� LOT DD.� <br /> OWNER __—CONTRACTOR"^— �c <br /> FLAT <br /> INSTAL ME**Rr&SERVICE <br /> 1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THEORDIN � <br /> OR ASNCES AND POLICIES SAME MAY BE HEREAFTER CHANGED,F THE DEPARTMENT NOW EXISTING SIGNED: X�-L�:'L_I-1.� <br /> MATERIALS IN. 1 IN. 1 2 IN. I PRICE AMOUNT <br /> PIPE COPPER--GALV.-STEEL TT 71 <br /> 7 <br /> CORPORATION <br /> URB COQ <br /> I <br /> SERVICE BOX �STIC -- C1 I SOS <br /> _ t <br /> METER VALVE <br /> METER No. TYPE: ${ <br /> METER BOX CONCRETE SMALL LARGE _ <br /> ON <br /> DATE INSTALLED: _ ffOFF SUB TOTAL <br /> CODE I tt LABOR AND EQUIPMENT RENTAL HOIIRS RATE <br /> / I TOTAL V <br /> REMARK81 et 1 77 <br /> ---- <br /> O <br /> I <br />