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021 <br />AP Ls L i APPLI ,ATION FOR SERVICE <br />No <br />SERVICE N: 1768 <br />CITY OF EVERETT WATER DEPT. <br />ORDER %y/ <br />• IXED �lD r n {./ ,3 <br />r DEPOSIT s /.� G 3= 6 �'� U•� <br />DATE.+�J .. -_1023 <br />o�./,� <br />C-!5D✓ A <br />SERVICE (BY AD Rn' EI "8� •--�/� Ji L{/� BLK.�LOTV—YA—ADDkImu-w� /�K <br />[[ <br />OWNERL . 0,0 <br />.Gp�Lsf�L CONTRACTOR <br />INSTALL—�Pt- ERED SERVICE-.— <br />S� y .SZ7-dLCLT <br />1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />SIGNED:X <br />1 MAILRIAL9 <br />5i IN. <br />1 IN. LIJIN. <br />I <br />PRICE <br />AMOUNT <br />PIPE COPPER -• AL SI EEL <br />I� <br />CORPORATION LA <br />CURB COCK OT <br />j <br />- <br />SERVICE BOX PLASTIC -. C I <br />METER VALVE <br />METER BOX dz�mcmETi SMALL ARgA <br />— <br />--I <br />-- <br />AM4U. <br />I � <br />ON <br />I DATE INSTALLED: dOFF �'iJB <br />I <br />TOTAL <br />CODE I LABOR AND EOUIPMENT PFNTAL � � <br />HOURS <br />RATE <br />I <br />TOTAL <br />REMARKS: / / / --7 -�> r <br />