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N. c�APPL. cg—kl CITY OF EVERETT <br />�/ APPLICATION FOR WATER SERVICE <br />Rl FIXED to TO POSTING I z-4 <br />SERVICE I11YADOMEBEI�➢J.:11J—L_ 4 , '^SLK— <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDER WQ 6385Q') <br />DATE_—_LL�-1/ /1 1 <br />W. O. <br />InMalal <br />ORDIMANCES AND POLICIES OF 1NE WATER DEPARTMENT NOW AAISl INO <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />I� l 1' ` <br />SIGNED. X Ell i <br />PIPECOPPER <br />CORPORATION <br />CORPORATION <br />MATERIAI[ <br />-- GALV. -- STEEL <br />Y IN. <br />— <br />.... <br />A IN. <br />PRICE <br />AMOUNT — <br />CURB COCK OT <br />I <br />SERVICE BOX <br />PLASTIC •• C I <br />I <br />_ <br />METER VALVE <br />_ <br />METER No. <br />TYPE: I H <br />_ <br />_ <br />METER BOX CONCRETE SMALL LARGE <br />DATE INSTALLED: <br />ON <br />I � OFF SUB TOTAL <br />CODE I <br />LABOR AND EOVIPMiNf RENTAL <br />NOV RE <br />RATE <br />I <br />_ <br />TOTAL <br />_ <br />REMARKS: <br />