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p/87 <br />APPL. ry ��'�t�Y CITY OF EVERETT SERVICE <br />N/o. C APPLICATION FOR WATER SERVICE ORDER �12 ��55(�5,., <br />d'I FIXED DATE rZ1 <br />0. <br />DEPOSITS j L W. <br />SERVICE (By ADORnu J1^� �` �SLK.- LOT-LiaADD.Ch�ICJ <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 MAI BE HEREAFTER CHANGED. SIGNED: X <br />PIPE <br />CORPORATION <br />MATERIALS <br />COPPER -- GALV. -- STEEL <br />IN. <br />I IN. 2 IN. <br />j I <br />_I <br />PRICE <br />AMOUNT <br />CURB COCK OT <br />_ <br />SERVICE BOX <br />PLASTIC -- C I <br />I <br />_ <br />METER VALVE <br />METER No. TYPE: Sf <br />METER BOX CONCRETE SMALL LARGE <br />i <br />DATE INSTALLED: <br />d <br />ON <br />OFF <br />2 SUB TOTAL <br />CODE I <br />LABOR AND EOUIPMEN'f RENTAL <br />HOURS <br />RATE <br />TOTAL <br />REMARKS: <br />