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RDER <br />APPL. 2 / 7C CITY OF EVERETT OE NO 7 2 5 4 <br />No. ORDER <br />APPLICATION FOR WATER SERVICE <br />❑ FIXED �S /,s <br />❑ DEPOSITS n o `�__-_Ill pOSTI NGIC ' ^ =- N---- <br />SERVICE (NY ADDRESS).,; BLK.. LOT ADD. <br />OWNER e'01 r7V eh E�I��LfT'f R-AR� CONTRACTOR -- <br />I HEREBY APPLY FOR THE USE OF WATER VN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXIST114G <br />nR AS SAME MAY BE HEREAFTER CHANGED, SIGNED:X <br />PIPE <br />CORPORATION <br />CURB COCK <br />MATERIALS _ <br />COPPER •• GALV. -- STEEL <br />OT <br />YI IN. <br />IIN. ,11N. <br />PRICE <br />AMOUNT <br />SERVICE BOX <br />PLASTIC -• C 1 <br />I <br />- <br />METER VALVE <br />METER No.Aff-Em <br />TYPE: I�jA/P <br />I if <br />METER BOX CONCRETE SMALL LARGE <br />DATE INSTALLED: <br />ON <br />f, OFF <br />SUB TOTAL <br />CODE <br />LADOR AND EOUIPMENf RENTAL <br />HOURS <br />RATE <br />- <br />TOTAL <br />REMARKS: <br />