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APPC. -•0t V� <br />No. <br />I �PD(EDV <br />�a <br />❑ DEPOSIT i <br />SERVICE IBY <br />APPLICATION FOR SERVICE <br />--CITY OF EVERETT WATER DEPT. <br />/2 n. 4�-6- <br />• /, FLAT <br />L.��/ <br />� INSTAL_�RIPIRR-SERVICE____._— <br />1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES <br />SAME MAY HEHEREAFTER CHANGED LIHEDEPARTMENT HOW EXISTING <br />ORS <br />SIGNED: X <br />11 <br />SERVICE <br />N! 1713 <br />ORDER <br />DATE —L/ <br />QQ �pp <br />o. <br />A7-- <br />MATERIALS <br />'AIN.'I <br />I IN. ; % IN. <br />PRICE <br />AMOUNT <br />PIPE _ <br />_ COPPER •• GALV. --STEEL <br />CORPORATION <br />CURB COCK _ OT <br />SERVICE BOX PLASTIC -- Cl <br />I METER VALVE <br />METER No. TYPE: q <br />METER BOX CONCRETE _ SMALL LARGE <br />I <br />DATE INSTALLED: <br />❑ ON <br />❑ OFF SUB TOTAL <br />CODE <br />LABOR AND EQUIPMENT RENTAL <br />I HOURS <br />RATE <br />I_ <br />— TOTAL <br />REMARKS: I _ + <br />