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APPL2Ia I_' <br />Z <br />No. /(r15 <br />Q FIXED �G <br />DEPOSIT O• -� <br />SERVICE 4MY ADDR <br />APPLICATION FOR SERVICE <br />CITY OF EVERETT WATER DEPT. <br />BLK.__ <br />SERVICE N° 2368 <br />ORDER <br />DATE_ _Tp� <br />W. O. <br />No <br />nDD.�c.e- <br />INSTALLS/{/'J. LATRED SERVICE _ <br />I .IERFBY 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 />1 <br />MATERIALS IN I 'N O UI. <br />PRICE <br />AMOUNT <br />1 PIPE <br />COPPLR •- GALV. - STEEL <br />CORPORATION <br />1 CUR B COCK <br />OT <br />SERVICE BOX PLASTIC - C I <br />METER VALVE- <br />1 METER No. _TYPE: >{ <br />METER BOX CONCRETE SMALL LARGE <br />�DATE INSTALLED: <br />I. -� <br />ON <br />I OFF <br />SUB TOTAL <br />CODE <br />LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />TOTAL <br />REMARKS <br />