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APP <br />SERVICE <br />ND -p ✓ ITV OF EVERETT ORDER NO. r <br />77 APPLICATION FOR WATER SERVICE ��jj <br />FIXED DAT IS/r_ <br />-�7,` O� <br />DEPOSIT NoW. <br />SERVICE INY ADDR[BSI - ���• SLK.__l0T ADD. <br />OWNER S—��='�_ •L1 CONTRACTOR — <br />fLAr <br />INSTAL TERED SE CE — -�- <br />I HEREBY APP�THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING i �_____ <br />OR IN SAME MAY O CIES HEREAFTER CHANGED. sION[D:%• �—, <br />MATERIALS <br />liIN. <br />1 IN. I E IN. <br />9CRICE <br />AMOUNT <br />PIPE <br />COPPER -- GALV. — STEEL <br />ErDA <br />, <br />CORPORATION �-Nl'iA <br />� <br />RB COCY. OT <br />_ <br />_ <br />SERVICE BOX <br />PLASTI -- C I <br />_ <br />METER VALVE <br />--- <br />METER No. _-- TYPE; I <br />%f <br />_--_ - <br />METER BOX CONCRETE SMALL LARGE <br />DATE INSTALLED:` <br />t - 7,V <br />x ON <br />I ❑ OFF <br />SUB TOTAL <br />COn[ I <br />LABOR AND EQUIPMENT RENTAL <br />HOURS <br />— RATE <br />I <br />TOTAL <br />REMARKS: <br />