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APPLICATION FOR SERVICE <br />CITY OF EVERETT WATER DEPT. <br />FIXELI C�, <br />❑ DEPOSIT .% <br />SERVICE (BY AO7_i�=DRESSI___ <br />OWNER-LL_//j 5 110M ps <br />r -- <br />INSTALI— Z M.''TERED SERVICE — <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCO^DANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMLNT NOW EXISTING <br />nR AS SAME MAY RE HEREAFTER CHANGED. <br />SERVICE N' 1 9 1 2 <br />ORDER DATE__ —197/ <br />CONTRACTOR S,Ir m e <br />/ A' <br />MATERIAL! <br />'A IN. <br />I 1 IN. <br />I E IN.'I <br />PRICK <br />AMOUNT <br />PIPE COPPER •- GALV. - STEEL <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX PLASTIC - C 1 <br />METER VALVE <br />METER No. TYPE: <br />I N <br />METER BOX CONCRETE SMALL -ARGE <br />I <br />® ON <br />DATE INSTALLED: � i � OFF <br />izz - <br />SUB TOTAL <br />CODE LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />i7cjx <br />TOTAL <br />REMARKSii C2_— <br />