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APPL. AP'LICATION FOR SERVICE SERVICEN2 1934 <br />V <br />No. QQQTTT ORDER <br />� CITi OF EVERETT WATER DEPT. 9 <br />LOSSDEPOSITS tL� D •� WD O. <br />SERVICE (er AODRpe1—/-1Ia.—_•�' SLK._ ._LOT �'+ ADD. <br />OWNER(/`f/ klC5 1 �•✓ CONTRACTOR�m� <br />'� FLAT <br />INSTAL man"mO SERVICE ' /• j.,C, _ <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />I��++,++ �� <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING y <br />OR N SAME MAY HEREAFTER CHANGED. eiaNED: %—� `� ___YJj2___(��•s�_ <br />MATERIALS <br />W IN, <br />I 1 IN. <br />I E IN. <br />PBICE <br />AMOUNT <br />PIPE <br />COPPER -- GALV. — STEEL <br />CORPORATION <br />CURB COCK <br />SERVICE BOX <br />OT <br />PLASTIC •• C 1 <br />METER VALVE <br />METER No. _ TYPE: <br />METER I3OX <br />CONCRETE SMALL LARGE <br />DATE INSTALLED: <br />ON <br />OFF <br />BUS TOTAL <br />CODS I <br />LABOR AND EQUIPMENT RENTAL <br />I NOURE <br />RATE <br />_--I <br />TOTAL <br />REMARKS: <br />