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EPPL`� 77 CITY OF EVERETT <br />No. C APPLICATION FOR WATER SERVICE <br />ca-FIXED `O� <br />DEPOSITS /06) <br />SERVICE (By AVORpR/)y Fg- -- --- -BLK. .-.. <br />p C� � (�(/y��-'GCl t .CONTRACTOR_ CONTRACTOR — <br />SERVICE <br />ORDER NO. •' � (� <br />DATE — -- -- -- -��- — <br />W. O. <br />No. - - - <br />LI ' —A <br />OWNER <br />i/ FLAT <br />MT <br />zINSTALL ERED SERV <br />I -- <br />HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING eleN Eo: % /el. -'��-----/ 'IV <br />AS SAME MAY BE HEREAFTER CHANGED. �' `7•--- <br />MATERIALS <br />'A IN. <br />I IN. 1 IN: <br />P E <br />AMOUNT <br />PIPE <br />COPPER.. GALV. - STEEL <br />_1 <br />I <br />_ <br />CORPORATION <br />- <br />CURB COCK OT <br />SERVICE BOX <br />PLASTIC •• C I <br />I <br />__ <br />METER VALVE <br />METER NO. (,L25 _ FYPE: j N <br />METER BOX CONCRETE SMALL LARGEON <br />— <br />DATE INSTALLED: <br />•_� �y v <br />I r? OFF <br />SUB TOTAL <br />DOOR LABOR AND EOUIPMEN' RENTAL <br />HOURS <br />RATE <br />TOTAL <br />REMARKS: <br />