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NO. <br />ND. <br />/FIEED <br />IE7' DE►OSIT <br />SERVICE (BY A-DDDS"$I.—Y <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />/ F <br />INSTAL��ETERW RVICC_ -- -- <br />I 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: <br />SERVICE <br />onocR NO. <br />DATE L <br />__ISK— <br />W. O. <br />�- MATERIALS <br />FIPE d •I� COPPER-.GALV.- STEEL <br />41N.1 <br />I IN. l i1 A IN. <br />PRICE <br />AMOUNT <br />CORF AINCH ve FO Sdo <br />CURB COCK OT <br />I <br />_ <br />SERVICE Box PLASTIC - CI <br />METER VALVE <br />METER NO. 7S�GJ ) T P `�1C-C13j- <br />METER BO% CONCRIE ol�g@6i ARG <br />i <br />DATE INSTALLED. <br />I OFF <br />SUB TOTAL <br />COD[ LABOR N. COUIPM[NT RENTAL <br />HOURS <br />RAT[ <br />_ (11��I�1{ <br />y=11� <br />_ �� <br />TOTAL <br />REMARKS: <br />