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APPL. .- W' &3 SERVICE <br />No. CITY OF EVERETT oRDER NO. 4924 <br />FIXED <br />APPLICATION FOR WATER SERVICE <br />/ DATE -oAf� TSG�t. <br />19 DEPOSIT t• No O. <br />SERVICE (BY ADDRESS) -..�..y--.= �ru y, U BLK�. LOT.ELL,r+, Or AIC <br />OWNER 1nC CONTRACTOR AIL /I a �.a&a <br />3�/ !_;ate - <br />INSTAL �' TERED SE RVIGE_ <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE A <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED BIONEo:X <br />MATERIALS <br />KIN.I 1 IN. BIN. <br />PRICE <br />AMOUNT <br />PIPE COPPER -- GALV. -- STEEL <br />CORPORATION <br />CURB COCK OT <br />_ <br />SERVICE BOX PLASTIC •- C 1 <br />METER VALVE <br />METER No. TYPE: _ I H <br />METER BOX CONCRETE SMALL LARGE <br />DATE INSTALLED: .7. ff <br />p CLABOR <br />ON <br />I -OFF <br />SUB TOTAL <br />60OB I AND EOUIPMENf <br />;GOO <br />REN/T.ALL�y <br />HOURS <br />RATE <br />TOTA L <br />REMARKS: <br />