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APp <br />A;5 <br />NoP�(�/ (� <br />FIXED <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />SERVICE (� <br />ORDER NO. ? G 0 0 <br />DATE_ 1=_t j?,7__ <br />DEPOSITS >u W. 0. <br />SERVICE (NY ADDIIEEE)"C�- �GZo <br />OWNEa ����1T1�%�'w {^//LG fIM. S ___CONTRACTOR <br />/-b A <br />INSTAL RED SERVICE <br />I HEREBY A PLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW WITH <br />THE <br />OR AS SAME MAY BE HEREAFTER CHANGED SIGNED: <br />MATERIALS <br />1{ IN. <br />1 IN, K IN, <br />pilotir <br />AMOUNT <br />PIPE <br />COPPER - GALV. -- STEEL <br />CORPORATION <br />CURB COCK <br />OT <br />SERVICE BOX <br />PLASTIC -• C I <br />METER VALVE: <br />METER No. �- _ TYPE: <br />METER BOX CONCRETE SMALL LARGE <br />- <br />�ON <br />DATE INS'fA LLE D: / �j I OFF / / <br />0 ,T / <br />SUB TOTAL <br />COOK <br />LABOR AND EOUIPMENI RENTAL <br />I HOURS <br />RATE <br />- T <br />TOTAL <br />REMARKS: �!/aJ c 6,1a- - rQ-=- --iy,-a/ f_-7- <br />