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SERVICE <br />APPL. //� C CITY OF EVERETT SERVICE <br />No. RG 355 ORDER N <br />APPLICATION FOR WATER SERVICE DATE N�/�.lo�b- <br />0— 5118 <br />Ei FIXED c* W. O <br />F-y DEPOSIT S �(I f� No. --- <br />SERVICE (MY ADDRESS) FlBLK.. LOT ADD. <br />I HEREBY APPLY FOR THL'a5E OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING SIGNED: <br />OR AS SAME MAT <br />Rc- <br />PRICE <br />AMOUNT <br />MATERIALS <br />$ IN. <br />I IN. 1 2 IN. <br />I <br />PIPE <br />COPPER -- GALV. -- STEEL <br />CORPORATION <br />-- <br />CURB COCK <br />OT <br />— <br />I <br />SERVICE BOX <br />PLASTIC -- C I <br />' <br />METER VALVE <br />----- <br />METER NO. <br />O TYPE: 0-0-jr <br />METER BOX <br />CONCRETE SMALL LARGE_— <br />I <br />_ <br />_ <br />I <br />I <br />I <br />XON <br />DATE INSTALLED: _ri_ <br />91s_g� I, ❑ <br />OFF <br />SUB TOTAL <br />LABOR AND EOUIRMENT RENTAL <br />HOU R9 RATE <br />cooE � <br />/ <br />' <br />I <br />_— I <br />TOTAL <br />