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APPLICATION FOR SERVICE <br />No. <br />CITY OF EVERETT WATER DEPT. <br />2-FIXED <br />�o <br />DEPOSITS <br />r-- <br />SERVICE N2 1722 <br />ORDER <br />DATE ' 1". S _ISz3 <br />W. O. <br />No <br />SERVICE (my <br />/�A,�DD,)R,�Iu1._L 0 2'r J,- S'=SLK._� — LOTJ�iADD. (AZAJ <br />___CONTRACTOs'4MC <br />3 it FLAT <br />INSTALL—ANRSIKD SERVICE-__. <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDAPCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANI•ED. SIGNED: <br />MATERIALB <br />Y. IN.1 <br />1 IN. <br />E IN. <br />I <br />PRICE <br />AMOUNT <br />PIPE <br />COPPER -- GALV. •- STEEL <br />CORPORATION <br />RUC B COCK OTB COCK OT <br />SERVICE BOX _ PLASTIC C 1 <br />METER VALVE _.._.__ <br />TYPE______ <br />METER BOX CONCRETE SMALL LARGE <br />DATE INSTALLED: <br />.`� <br />ON <br />OFF ' <br />SUB TOTAL <br />CODE <br />LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />I� <br />REMARKS: <br />��.7 -T , - ,..-" <br />TOTAL JF <br />r .• _ ___ _ �'(..-- " . : <br />-r <br />