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APPL -1 <br />No. pC � • <br />X[O <br />�. DEPOSIT <br />SERVICE (BY AODROE)-- <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />F <br />INSTAL IV ERED SERVIC <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES <br />As SAME MAY BEHEREAFTER CHANGED. <br />IDEPARTMENT NOW EXISTING <br />WRIGNEL: X <br />IS <br />OF'. EIR [ No. 4958 <br />DAT / —19 at <br />No O. <br />MATERIALS <br />'AIN. <br />1 IN. <br />1 IN. <br />PRICE <br />AMOUNT <br />PIP[�� <br />. <br />N3r <br />CORPORATION <br />_ <br />- <br />CURB COCK OT <br />I <br />— <br />SERVICE BOX PLASTIC -- C I <br />—I <br />METER VALVE <br />-- <br />-- <br />— <br />METER NO. TYPE• <br />METER BOX •leNQRSTE 2 <br />MA <br />I <br />LARGE <br />_ <br />— <br />I <br />I <br />I <br />_ <br />F IATE INSTALLED: � <br />/ <br />/" <br />I ON <br />� OFF SUB TOTAL <br />j <br />CODE I LABOR AND EQUIPMENT RENTAL <br />NOU <br />RATE <br />-- <br />i <br />— c24 <br />11 <br />TOTAL <br />REMARKS: <br />