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2100 <br />APPLg/QC q <br />No. <br />XED ©U <br />❑ DEPOSITS <br />SERVICE (BY <br />OWN <br />APCLICATION FOR SERVICE <br />CITY OF EVERETT WATER DEPT <br />-71f/ Al <br />SERVICE ND 1756 <br />ORDER <br />DATE Z -7 <br />W. O. <br />No.— <br />_OT Nam" Y. epp f I - .A17 <br />INSTALL :7-6t� _MWPEWM SERVICE <br />I HEREBY APPLY FOR THE USE Of WATER IN ACCORDANCE WITH THE <br />vnv.nn..... ... .. •.•m.•.• ...... ........... _. <br />OR AS SAME MAY BE HEREARER CHANGED. SIGNED: X. <br />.�� v •, �C.-Il�L9--- <br />MATERIALS <br />ii IN. <br />I IN.1 A IN. <br />PRICE <br />AMOUNT <br />PIPE COPPER —GALV. — STEEL <br />_ <br />CORPORATION <br />I CURB COCK OT <br />SERVICE BOX PLASTIC •• C I <br />METER VALVE <br />METER No. ------- TYPE: <br />1 METER BOX CONCRETE SMALL LARGE <br />_J <br />DATE INSTALLED: <br />ON <br />❑ OFF <br />_ SUB TOTAL <br />-_ <br />Cong I LABOR AND EOUIPMENf SENTAL <br />Ili—• I _.___—__� <br />HOURS <br />RATE <br />___ <br />TOTAL <br />REMARKS: <br />