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APPL. p <br />No. 076 <br />U• FIXED <br />DEPOSIT s . cr <br />SERVICE (MY ADDBwr�/..�, 4 <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />INSTAL •7 '-_...,....... n' <br />RED SERVICE <br />I HEREBNCES AND Y APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />OR AS <br />ASAME MAY 13ELIHEREAFTER C ANG D,CIES OF THE WATER DEPARTMENT NOW EXISTING <br />SIGNED: X <br />MATERIAL6 <br />PIPE % IN. 1 IN. J 2 IN. <br />- <br />COPPER -- GALV. STEEL 7 <br />CORPORATION <br />CURB COCK <br />SERVICE <br />� <br />--�_ <br />METER VALVE <br />METER No. <br />METER BOX <br />DATE INSTALLED: <br />CODE I <br />OT <br />PLASTIC _. C I <br />TYPE: I 35 <br />CONCRETE SMALL LARGE <br />ON <br />-17 OFF <br />LABOR AND EQUIPMEI I RENTAL <br />SERV/ ICE % "` O <br />ORDER <br />C_3L_ N° <br />DATE�6_=_Iq 11iSIcZ <br />W. O. <br />—_LOT-33—ADD. I�Q_ <br />�I��I PRICE II AMOUNT <br />SUB TOTAL <br />HOURS ' RATE <br />REMARKS: TOTAL <br />