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APPL. n)��)„�. <br />No. pL(1! l[� <br />�FIXED � <br />� DEPOBIT s� <br />SFRVICE <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />INSTALL.=J"� METERED SERVICE <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCOROANCE WIiH THE <br />ORDINANCES AND POLICIES OF THE �VATER DEPARTMENT NOW ENISTING w� <br />OR AS SAME MAY BE HEREAFiER CHANGED. 81GNeo:X.. — <br />NATERIALS �'N �I Z 1n �I <br />PIPE COPPER -- GALV. -- STEEL <br />CORPORATION <br />CURB COCK <br />SHRVICE BOR <br />METER VALVE <br />METER No. <br />METER BOX <br />OT <br />PLASTIC -- C 1 <br />CONCRETE <br />s , <br />DATEINSTALLEO: <br />COOE � <br />REMARKS: <br />TYPE: � ?5 <br />SMALL LARGE <br />ON <br />OFF <br />(. <br />LAOOR AND EqU1PMEN�f RENTAL <br />SERVICE <br />ORDER ^�� � 5� 3Q1� <br />f ` -4� -f- <br />DATE__L1-Dr} 9 <br />W. O. <br />No. <br />'�/� G �!' ��J ��ryG <br />!�!� D D.�CF�3K–LY I.�.� <br />PRICE <br />SUB TOTAL <br />HOURS � RATE <br />TOT4L <br />