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APPZ -CITY OF EVERETT ORDERfi NO. 5tJo. -7�P678 <br /> �_ t •J . <br /> APPLICATION FOR WATER SERVICE <br /> FIXED OA / !� It�� <br /> - '� � W.O. <br /> E] DEPOSIT � No. Ic So, i <br /> Lr 2L CAss W..iry i Wo4rla AJ/ <br /> SERVICE (BY AD DR US) <br /> Z� /GTy S / . FLY /OZ�� BLK<N. 2L0TZ ADDLrEPcyl/o^�i T,C <br /> /� C�YJ t CAV O CAfVI� <br /> OWNER_ 4- <br /> /41 <br /> N F <br /> ----INSTALETERED SERVICE _--- - .- <br /> i HEREBY APPLY FOR THE USE OF WATFR IN ACCORDANCE WITH THE /� ^ <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> % <br /> OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED: - —-- <br /> MATERIALS 7G IN.I I IN.I E IN. I PRICE AMOUNT <br /> PIPECOP— PEI7'1 GALV.--STEEL _ <br /> CORPORATION _ - <br /> CURB COCK OT _I - <br /> SERVICE BOX PLASTIr, -- C I I .. <br /> METER VALVE - <br /> METER No. <br /> —ETER BOX CONCRfiTE _ BMALL LARGE _ ' _ <br /> v <br /> I <br /> ON <br /> DATE INSTALLED: ��„?f_7 7 OFF BUB TOTAL <br /> CODE LABOR AND EQUIPMENT RENTAL HOURS RATE <br /> —I �6 & cF <br /> TOTAL <br /> REMARKS: _ _ <br />