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APPI2- J ,,;4- / CITY OF EVERETT ORDERS NO. 35,96 <br /> NO. s- APPLICATION FOR WATER SERVICE <br /> DATE/// <br /> E] FIXED N O <br /> DEPOSIT J� (wL�,,.�� <br /> SERVICE ( o[wrt "� '� ""' "-'" -SLK.. LOT.�9-Aye-j <br /> CONTRACTOR (/ <br /> OWN <br /> L <br /> INSTAL-- TIERED SERVICE - <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THEv� <br /> ORAS DINANCES SAME MAY BELICIES FTER CHANGEDEPARTMENT NOW EXISTING SIGNED: X(& <br /> 16 IN. I IN. i IN. PRIG[ AMOUNT <br /> MATERIALS <br /> PIPE COPPER••OALV.-STEEL -- <br /> CORPORATION - <br /> CURB COCK -- <br /> SERVICE BOX PLASTIC •• C I -_ <br /> METER VALVE — <br /> METER No. TYPE: <br /> METER BOX CONCRETE —SMALL LARGE <br /> —I I — <br /> i I _ <br /> ON <br /> ��� ��a J I OFF SUB TOTAL- <br /> DATE <br /> OTAL <br /> DATE INSTALLED: a <br /> COtl[ I HOURS RATE <br /> LABOR AND [OUIPM[SIT RENTAL <br /> -- - - /��fZZ - --I <br /> TOTAL <br /> REMARKS: --- \ <br />