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APP-. APPLICATION FOR SERVICE NG 1 1 13 <br /> Nd. SERVICE <br /> CITY OF EVERETT WATER DEP . ORDER , <br /> Ig FIXED <br /> ❑ DEPOSIT f1��,T'-TT —10T <br /> SERVICE Isr ADDREan � �' `� }C/. /N <br /> SLKLOT - DD._ <br /> OWNER <br /> ------_CONTRALTO <br /> INSTALI T FLAT SERVIC <br /> 1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> —�'— <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING 1 <br /> OR AS SAME MAY BE HEREAFTER CHANGED. <br /> •TONED 7 , <br /> MATERIALS %IN. I IN. <br /> PIPE PRICE AMOUNT <br /> OPPER GALV.-STEEL 413J r' - <br /> CORPORATION <br /> CU-:RB GOCK pT <br /> SERVICE BOX PLASTIC <br /> METER VALVE -- <br /> METER No. TYPE: I H <br /> METER BOX CONCRETE SMALL LARGE <br /> DATE INSTALLED: C? ❑ ON <br /> OFF SUB TOTAL <br /> CODE I LABOR AND EQUIPMENT RENTAL <br /> HOURS RATE <br /> REMARKS: TOTAL <br /> i <br /> 1 <br /> Y <br />