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APPL. APPLICATION FJR SERVICE SERVICE N2 1922 <br /> No. ORDER <br /> CITY OF EVERETT WATER DEPT. <br /> r.lD DATE— I—10 <br /> .- <br /> El DEPOSIT . /7J WD� S O• <br /> SERVICE I ,pA�D.DRES /?'2 r D r��" sad BLK. .LOTL/ ADDS/Z,Z�_y <br /> OWNER s[l/(✓/f2 'S' 14 ' —CONTRACTOR <br /> X 11 b <br /> INSTAL METERED SERVICE <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE SGG�i <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. •lave _ <br /> MATERIALB 'A IN. 1 IN. E IN. PPICE AMOUNT <br /> PIPE (,COPPER)-GALV.— STEEL <br /> CORPORATION <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC -- C I <br /> METER VALVE —, — <br /> METER No. ,-Si-7S- TYPE: ✓ I H <br /> METER BOX CONCRET MAL LARGE <br /> C -- <br /> ..0 I <br /> 1� 3 7. J A a _ <br /> I <br /> rN ON <br /> DATE INSTALLED: ?� ORF SUB TOTAL <br /> CODE J LABOR AND EQUIPMENT RENTAL HOURS RATE <br /> — -- -- -- <br /> -- TaTAL <br /> REMARKS: <br />