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NO. y/1'203 APPLICATION FOR SERVICE SERVICE 1Y2 1951 <br />�i( CITY OF EVERETT WATER DEPT. ORDER <br />0-111'XED DATE __ .__.1 <br />DEPOSIT —0. <br />�LY-a W. <br />S 6 No._.._..—_..- .— __._..—_ <br />7U7 - ICJ (/ l//r!7��bE'P� IN <br />SERVICE (aY ADDRp8)1 ��� `� ��� BLK. LOT��ADDLfr�L����•r_ <br />FLAT <br />INSTALL-�k___MSMRGD 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. SIGNED:X <br />MATERIALS <br />IN. <br />1 IN. <br />I E IN. <br />PRICE <br />AMOUNT <br />PIPE COPPER •• GALV. - STEEL <br />CORPORATION <br />CURB COCK OT <br />_ <br />SERVICE BOX PLASTIC -- C I <br />I <br />�_ <br />METER VALVE <br />METER NO. TY?E: <br />METER BOX CONCRETE SMALL LARGE <br />® ON <br />DATE INSTALLED - ..� I OFF <br />i <br />f SUB TOTAL <br />CODE LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />i <br />I <br />TOTAL <br />REMARKS: <br />