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APPL. -51 <br />No. S�'C}' jJ <br />G� <br />El FIXED o0 <br />❑ DEPOSIT S_16 O <br />Cl'. OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />SERVICE /1� V ADoann+�+4C�}/ <br />OWNER✓J`T' DR'• _ (,(,tit �+-�/ C <br />F L <br />INSTALL—�/'(_—MELTERED SERVICE_ - <br />I 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 />ORDER SERVICE NO. 4 6 f1 p8� <br />DATE%r� iSfL= <br />No O. <br />At <br />SIGNED: X_LL=_��{.✓�� <br />MATERIALS <br />IN. <br />I IN. 2111. <br />rptict <br />AAOUNT <br />PIPE <br />CORPORATION <br />CURB COCK <br />SERVICE BOX <br />METER VALVE <br />METER No. <br />METER BOX <br />COPPER <br />OT <br />PLASTIC <br />CONCRETE <br />GALV. -- STEEL <br />•• C I <br />TYPE: <br />SMALL LARGE <br />I <br />DATE INSTALLED. _AO �o—(.7-� <br />O <br />N <br />ON <br />I I OFF <br />SUB TOTAL <br />CODE <br />LASOR AND FIQUIPMENf HOURS <br />RATE <br />� <br />/R�E�NyT/L <br />_:JV Cei✓Tv� <br />— -_ <br />TOTAL <br />REMARKS: <br />