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API"No.. <br />(00 <br />FIXED <br />❑ DEPOSIT S--.-_,-_-_ <br />SERVICE (BY <br />APPLICATION FOR SERVICE SERVICE N° 1913 <br />ORDER <br />CITY OF EVERETT WATER DEPT. <br />DATE 7 � � —10 %Z <br />W. O. <br />No._ <br />/y E'nF /250 NA�r- <br />'� _=(Z St BLK. —LOT-/-aADD. jP431 <br />I NSTALL=?/--(—METERED SERVICE - <br />1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF 711E WATER DEPARTMENT NOW EXISTING „nA� '�Sl <br />OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED: - "`" --,i^ d <br />MATERIAL$ <br />A IN. <br />I I IN. I E IN. <br />I <br />P' ICE <br />AMOUNT <br />PIPE COPPER.. GALV. -- STEEL <br />�- <br />CORPORATION <br />I_ <br />_ <br />CURB COCK OT <br />SERVICE BOX PLASTIC -- C 1 <br />�— <br />I <br />METER VALVE <br />METER No. TYPE: <br />I 'TER BOX CONCRETE SMALL LARGE <br />I <br />I <br />ON <br />DATE INSTALLED: �7/i7 � Z OF U{ SUB TOTAL <br />/ C� <br />CODE LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />REMARKS: <br />