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No.26-3 v <br />FIXED <br />DEPOSITS _a CV <br />SERVICE (BY ADDRESS) <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />INSTALL`/ QjETERED bERVICE <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. SI:NED <br />SERVICE <br />ORDER NO. - <br />DATE_(!- I1t <br />W. O. -- <br />No. <br />�nT°/P I/ , <br />AD <br />MATERIALS <br />PIPE COPPER -- GALV. -- STEEL <br />CORPORATION <br />Y. IN. I <br />I IN. 2 IN. <br />C <br />PRICE <br />AMOUNT <br />_ <br />CURB COCK OT <br />SERVICE BOX PLASTIC -• C I <br />- <br />METER VALVE <br />METER No. TYPE: <br />METER BOX CONCRETE SMALL LARGE <br />DATE INSTALLED: <br />ON <br />I ❑ OFF <br />SUB TOTAL <br />CODE LABOR AND EDUIPMEN I"RENTAL <br />HOURS <br />RATE <br />I / <br />TOTAL <br />REMARKS: 1, C✓n Ci511 ill/i/�.' C J.,%]/1 /t/ 1� /J <br />