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a No. & 5 I a. <br />No. <br />Ei FIXED <br />f�gDEPOSITS <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />SERVICE <br />ORDER <br />5277 <br />C9- �, <br />DATE �19�Rn <br />21 <br />SERVICE (Br wDDKUB)—J-OJ-o Ep�BLK.. LOT AD <br />11 <br />INSTAL 3METERED SERVICE <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />v BE HEREAFTER [HANGED. <br />SIGNED: X <br />MATERIALS <br />Yi IN. <br />1 IN. 2 IN. <br />PRICE <br />AMOUNT <br />PIPE COPPER -- GALV. -- STEEL <br />I <br />_ <br />CORPORATION <br />—I <br />- <br />CURB COCK OT <br />SERVICE BOX PLASTIC -- Cl <br />METER VALVE __ <br />------ <br />METER NO. TYPE: I )4 <br />METER BOX CONCRETE SMALL LARGE — <br />ON <br />OFF SUB TOTAL <br />�l��j�b lL/�� I <br />. <br />DATE INSTALLED: DATE INSTALLED: E <br />i %LABOR <br />AND EOUIPMENf RENTAL <br />HOURS <br />RATE <br />CODE <br />�y •� <br />�I <br />TOTAL <br />REMARKS: <br />