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ApPL. f / / 3 APPLICATION FOR SERVICE SERVICE N2 480 <br /> NO. ORDE •\ <br /> J� �7 CITY OF EVERETT WATER DEPT. ��v Il �4 <br /> x FI ED DAT <br /> DEPOSIT S /OQ. a;O 7G f StSW N o• <br /> SERVICE Ur DRO{) <br /> LK.--L07_—ADD <br /> OWNER AT -CONTRACTOR _ <br /> � FLAT <br /> INSTALL� -&yETEMM SERVICE <br /> 1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTINCD <br /> OR AS SAME MAY BE HEREAFTER CHANGED. {IONEo: X*'e— _ !�✓--L <br /> MATERIAL{ A IN.I 1 IN. I ■ IN.I I PRICE AMOUNT <br /> PIPE COPPE -GALV.-STEEL 6 as <br /> CORPORATION <br /> cuRB Cock. ot I L� <br /> - BERVICE BO% PLASTI •• C I <br /> METER VALVE <br /> _Id ETER NO. -- ._- TYPE: _ Tj <br /> j -- -- — <br /> METER BOX CONCRETE SMALL LARGE <br /> I _ <br /> . // <br /> DATE INSTALLED: ❑ ON <br /> d-OFF SUO TOTAL / <br /> CODE LABOR AND EOUIPMENt RENTAL HOURS RATE <br /> L ! <br /> t <br /> — t , — - ----- - --- -- -- <br /> 21/ 13V <br /> 17) —�- - --- 3 <br /> TOT7 <br /> REMARKS: <br /> o <br />