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A F f L. 2J0, f2 APPLICATION FOR SERVICE <br />No <br />CITY OF EVERETT WATER DEPT <br />FIXED <br />DEPOSIT <br />SFRVICE N2 <br />ORDER <br />DATE _ <br />W . O. <br />NO._ _ <br />79/2 <br />SERVICE (By ADDRESS)-_'_J /__.. (�_ � <br />---- --- BLK. LOT_ <br />OWNER_ .. CONTRACT] It b ,� 7,cX_.4 <br />�---FLAT <br />____ it q--' 9 c/ �- FJ-+ CS.=... <br />INSTALL MSTtRE'D SE:RVICE_____ <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING l Iilz_ �7�-,1OR IN SAME MAY HEREAFTER CHANGED SIGNED: X wJ7f�� <br />MATERIALS <br />IN. <br />I IN. <br />! IN. <br />I <br />PRICE <br />AMOUNT <br />PIPE <br />CORPORATION <br />CU R�CK <br />_ OPPER- GALV.--STEEL <br />SERVICE BOX <br />PLASTI -- C 1 <br />METER VALVE <br />METER No. TYPE: <br />METER BOX <br />CONCRETE SMALL LARGE <br />qqI <br />DATE INSTALLED: <br />ON <br />U"OFF <br />OUR TOTAL <br />V� <br />CODE <br />LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />1412 L <br />L <br />(J� TOTAL <br />REMARKS: <br />