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APFTL. 20 497 AP PLICATION FOR SERVICE SERVICE N° 1 1 7 7 <br /> ,7e- �/ CITY OF EVERETT WATER DEPT. <br /> jw FIXED —1L <br /> El DEPOSITS ,���•r / ,,f Wo 0• <br /> SERVICE IRr noDRpq 16 --SLK.— LOT A D <br /> OWNER CONTRACTOR , ���'�"" <br /> FLAT <br /> INSTAL ESZREQ-SERVICE _ <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDIN•.NCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING �`• O—.�� /l (/ / <br /> OR AS SAME MAY BE HEREAFTER CHANGED, SIGNED: NL1� <br /> MATERIALS 'A IN.! 1 IN. I A IN. y TI PRICE AMOUNT <br /> PIPE — --_ COPPEF:=GALV.-STEEL I <br /> CORPORATION <br /> URB LUCK by J <br /> SERVICE BOX PLASTIC C I _� �J <br /> METER VALVE _ <br /> METER No. TYPE: <br /> METER BOX CONCRETE SMALL LARGE <br /> I <br /> I , <br /> E3 ON <br /> DATE INSTALLED:�( ^I�.G Q=OFF � SUB TOTAL <br /> ceDE LABOR AND EQUIPMENT RENTAL HOURS IRATE <br /> TOT L <br /> REMARKS: <br /> 121� -1_--.. <br /> 1 <br /> I <br />