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APPL. No. 2, 6C 7 <br />� <br />❑ FIXED <br />DEPOSIT <br />II �+ <br />1 <br />SERVICE (BY ADDRESS>� <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />JN5TALI 1 . METERED SERVICE_-- _ <br />1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED:X <br />SERVICE <br />ORDER NO. <br />W. O. <br />No.__ <br />�1 MATERIALS <br />PIPE /�/ COPPER -- G.ALV. - STEEL <br />CORPORATION <br />N IN. <br />AS <br />1 IN. nJN. <br />�I <br />-I}- <br />P I E <br />AMOUNT <br />CURB COCK OT <br />SERVICE BOX PLASTI -- C I <br />h <br />METER VALVE <br />METER No. _ TYPE: + ;{ <br />METER BOX CONCRETE SMALL LARGE <br />I <br />H"�6 -70 L/ in0ur�cc riAa(ol1,0 �a � d� <br />_-- <br />_ N <br />I <br />T, <br />DATE INSTALLED: '7��-/�! <br />/ <br />r OFF SUB TOTAL <br />CODE LADOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />3 S-6 41 <br />i <br />TOTAL <br />REMARKS: <br />