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APPL.��if/ APPLICATION FOR SERVICE SERVICEN2 1840 <br />No. ddd CITY OF EVERETT WATER DEPT. ORDER <br />IXED DATE." �d —1GJ_ <br />DEPOSIT S 25' OA7 W. O. <br />SERVICE (BY ADDRESS) - �3 Ti'�'� J 't� t BLK. LOT—Z—ADD._� <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING .I <br />OR AS SAME MAY BE HEREAFTER CHANGED. RIONEDt ��'� J <br />MATERIALS <br />'AIN. <br />1 IN.1 <br />11N.1 <br />PRICE <br />AMOUNT <br />PIPE COPPER -- GALV. -• STEEL <br />CORPORATION <br />CURB COCK OT <br />1 <br />I <br />_ <br />SERVICE BOX PI.ASTIC -- C I, <br />METER VALVE I <br />METER NO. <br />METER BOX <br />_ <br />CONCRETE <br />_ <br />TYPES I H <br />SMALL LARGE <br />— <br />C ooe_I <br />DATE INSTALLED: 2 ^ <br />Q ON <br />X-7y I OFF <br />SUB TOTAL <br />CODE <br />LABOR AND EQUIPMENT RENTAL <br />"CURB <br />RATE <br />- - - <br />a I �2 <br />3-- <br />h11►_rip.�v <br />TOTAL <br />REMARKSt _ ! <br />