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APPLICATION FOR SERVICE SERVICE ly° 1 9 6 4 <br /> ' APPL. (((//! ORDER <br /> No. i CITY OF EVERETT WATER DEPT. l - / � - <br /> DATE. <br /> h7'FIXED -- <br /> DEPOSIT s — <br /> /a J .00 , N O. <br /> 6 r` <br /> t L . S �. SLK. J�LOT/—� __ADD� <br /> SERVICE (BY,ADDnut) <br /> OWNERCONTRACTOR <br /> =SC <br /> FLAT <br /> INSTAL�M�� : WATER /I <br /> I HEREBY A PLY FOR CITE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING [IONto: <br /> OR AS SAME MAY BE HEREAFTER CHANGED. PRICE AMOUNT <br /> NAY[RIAL[ IN. <br /> PIPE COPPER»GALV.-STEEL I I <br /> CORPORATION _ <br /> CURB COCK OT I <br /> SERVICE BOX <br /> PLASTIC -� — <br /> _ 1 <br /> METER VALVE -- <br /> METER No. _TYPE: — M <br /> METER BOX CONCRETE SSMAALL'. `LARGE <br /> - I <br /> I <br /> _ I 0 ON <br /> •� 8U8 TOTAL <br /> DATE INSTALLED: _ OFF ,i <br /> HOUR[ RATE <br /> COD[ LA[OR AND EOUIPM[NY R[NTAL <br /> I � I <br /> I Iv30 _�I I <br /> I - - <br /> TOTAL <br /> REMARKS: <br />