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APPL. .. eD1as APPLICATION FOR ARVICE SERVIDE N2 7g 4 <br /> NO. ORDER <br /> ,,2'n/0 5 CITY OF EVERETT WATER DEPT. <br /> FIXED 60 -7 / <br /> p ' DATED,->='(:��_-d.—i S' <br /> DEPOSITS W. <br /> i7/�� <br /> SERVICE ter oRaS/_3 1 6- � G <br /> OWNER .4p, -f// _.—CONTRACTOR _ <br /> FLAT <br /> 'NSTALL"._ /METERED SERVICE _---- _ <br /> HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAMC MAY BE HEREAFTER CHANGED SIGNED: <br /> MATERIALS IN,I 1IN. SIN. PRICE AMOUNT <br /> PIPE COPPER-GALV.- STEEL I <br /> CORPORATION _ _L 3 <br /> CURB COCK OT <br /> SERVICE BOX eI- O+.-- C 1 I J <br /> METER VALVE <br /> METER No. TYPE: I f( <br /> METER BOX CONCRETE SMALL LARGE T I <br /> N <br /> DATE INSTALLED: _ _ El FF SUB TOTAL / oil <br /> COOK LABOR ANOEOUIPMENT RENTAL HOURS RATE <br /> I II .• i . . <br /> /4 �r"o <br /> I <br /> 01 TOTAL <br /> REMARKS: ,i/iT•i�y[�-!fir/'� `J�✓ ., -t'.�•i JfIAc _. <br /> I <br /> i <br />