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N0. ®43 <br />F XED <br />fff� DEPOSITS ���f-� <br />SERVICE cqY ADDRESS) <br />`1�� e r <br />INSTALL METERED <br />APPLICATION FOR SERVICE <br />,()CITY OF EVGRETT WATER DEPT <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE �✓� <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EMSTING li- <br />OR Al SAME MAY BE HEREAFTER CHANGED. SIGNED: X_ <br />SERVICE N2 320 <br />ORDE <br />DAT _�—I <br />W. O. <br />C <br />a <br />PIPE <br />CORPORATION <br />MATERIALS _ <br />-COPPEi2-.GALV.--STEEL <br />?� IN. <br />� <br />I IN. 2IN. <br />j-- <br />I <br />PRICE <br />_ <br />AMOUNT <br />? <br />/f <br />�i <br />_ <br />�--_ <br />(CURB COCK OT <br />SERVICE BOX <br />PLASTIC -- C <br />—) <br />ETER VALVE <br />� <br />3 <br />g'% <br />METER No. <br />TYPE: <br />( ;g <br />METER BOX CONCRETE SMALL LARGE <br />T_ <br />I <br />I <br />I <br />DATE INSTAL—ED: <br />_ <br />ON <br />Q OFF, /.' <br />SUB TOTAL <br />CODE <br />LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />--�44, <br />�30 <br />7D <br />TOTAL <br />REMARKS <br />