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No. <br />2,FiXCD <br />DEPOSIT to <br />APPLICATION FOR SERVICE <br />CITY OF EVERETT WATER DEPT. <br />SERVICE N: 1722 <br />ORDER <br />Em <br />��fC✓f✓YA/•� <br />SERVICE (By <br />/ADDRESS) <br />-1 � �- ,�-~"'Z- ' °1 —S �='-_BLK..,..�. =LOT_L �J+DD. _.j,e✓/.�.JL�___._ <br />OWNER�..(.�1�^"% /'L'/2_ _.,,. _ CONTRACTO <br />7f FLAT �Of' Ch'/_irtT...i/.►�J=-`-- <br />INSTALL_"--t"ED SERVICE _. <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE /' //�!1 II`- a '•7� <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING /�CC4 =-!J • !.f�_L?"y`!`+___ OR IN SAME MAY HEREAFTER CHANGED. s1�NEb:X <br />MATERIALS <br />PIPE <br />I PIPE COPPER - GALV. -STEEL <br />1 CORPORATION <br />$ IN. <br />I IN, f IN. <br />I <br />PRICE <br />j AMOUNT <br />I <br />E CURB COCK OT___ <br />SERVICE BOX PLASTIC •_ C 1 <br />i <br />METE <br />I <br />METER No. TYPE: <br />I METER BOX CONCRETE SMALL LARGE <br />1 <br />_ <br />I <br />I <br />DATE INSTALLED: '.. ^ _ <br />ON <br />I�OFF,f '�1 SUB TOTAL <br />• CODE LAROR AND LOUIPMENt RENTAL <br />MOURS <br />RATE <br />1 <br />TOTAI_ <br />REMARKS: / ,-• ., i 1.f ._ . , _ <br />