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APP APPLICATION FOR SERVICE SERVICE N° 1 8 7 Q <br /> f� ( �J ORDER <br /> CITY CF EVERETT WATER DEPT. �77�,����J <br /> DATE_1� -1 S <br /> FIXED <br /> pi'DEPOSIT :A,D�/.QO No. <br /> 2,7,S,9,)0)/S,/eb iu <br /> SERVICE ('B/Y AD/DDR/ESSS)) 140 7 ���� -s7 3 BLK. IL'OT / ADD.Bev_�Bo/rT <br /> OWNER!\G.1IL-�/� U-LJ.� / CONTRACTOR / �C/A A4J CO/ISor Cd• LAC. <br /> INSTALLSL� ETERED SERVI <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE O <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING SIGNED: <br /> OR AS SAME MAY BE HEREAFTER CHANGED. �'— <br /> MATERIALS YI IN. 1 IN. I IN. PRICE AMOUNT <br /> PIPE COPPER••GALV.-STEEL — <br /> CORPORATION - <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC - C I I <br /> METER VALVE -- <br /> METER NO.100 <br /> METER BOX CONCRETE SMALL LARGE — <br /> 71 <br /> DATE INSTALLED: S �/y�7L, � OFF SUB TOTAL <br /> CODS I l LABOR AND EQUIPMENT RENTAL HOURP RATE <br /> TOTAL <br /> REMARKS: QS --- ----- --- <br /> 7662-S <br />