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IA <br /> APiLIOATiON FOR SERVICE SERVICE <br /> E V2 1249 ' <br /> No. <br /> 2as5L CITY OF EVERETT WATER DEPT. Murch 1 -9 /t7 <br /> DATE >—IG_— <br /> FIXED <br /> w,o. <br /> DEPOSITS 125.00— No.. - --- <br /> 13:1 <br /> SERVICE (Rf ADDRCES)—"3 - 76th Place _. _ NLK. LOT�7 ADD.-- <br /> OWNER Carl Rogers _—CONTRACTOR Ah o p I I Iders— _ <br /> INSTALI 3—/4FLAT <br /> 1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE - r <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED: X <br /> is AIERIALS VI IN. 1 IN, I E IN. I PRICE AMOUNT <br /> PIPE COPPER-• GALV.–STEEL l J� <br /> CORPORATION <br /> CURB COCK_ —__ I <br /> SERVICE BOX iSTIC, •• C I I <br /> METER VALVE <br /> METER No. TYPE: <br /> METEP BOX CONCRETE SMALL LARGE <br /> I _ <br /> ON ^ <br /> OPp SUB TOTAL <br /> DATE INSTALLED: -7o <br /> _ O ll �-1 .-L <br /> LABOR AND EQUIPMENT RENTAL HOURS RATE <br /> I r ) I <br /> 17< <br /> D I� a <br /> I n 3 ? ------- --- — �.= a �- _� ,�.✓ <br /> -- I TUTAI� 7 <br /> r ' <br /> J / <br /> REMARKS: rr.1.I <br />