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AF'pL•. 203 76 <br />Na, <br />c���� 7� <br />� FIXED <br />� DEAOSIT s � �J� �� <br />SERVICEasy-rooacaB� �s.7�a� <br />APPLICATION FOR SERVICE <br />CITY OF EVERETT WATER DEF'T <br />�� FLAT — �� ( <br />INSTAL��_METERED SERViCE__ _ <br />I HEREBY APPLY FOR THE USE OF WATER IN Al'iOR�ANCE WIiH THE I <br />ORDINANCES AND POLICIES OF THE WA7ER DEPA(iTMENT IvOW E%ISTING % <br />OR AS SAME MAY BE HEREAF7ER CHANGED. <br />BIGNED: X_� <br />MATERULS '�� IN. 1 IN, � p ��-', I'�� <br />PIPE C�R - GALV. -- STEEL �I a� I I <br />CORPORATION — <br />CURB COCK OT <br />SERVIGE 60X PLA571C • C 1 <br />METER VALVE <br />METER No.�l..��= .��_�Q J TYPE <br />METER BOX CONCRETE _� <br />� S �,- _ .� n i. <br />DATEINSTALLED: <br />coDE I ( ' , <br />�� � !S <br />LA7GE <br />I � ON <br />� �OFF <br />LABOq qNO EOUIPMEI�IT RLNTAI. <br />REMARKS: <br />- r --- <br />-I-�-�ti ----_ ___ <br />SERK[CE �� � ,� ,% rj <br />ORDE <br />� �DA E _G.• c_ Y� �-�� � � <br />�j <br />�l-» <br />�i 1 - <br />��-�L�.l-�_ <br />PRICE AMOUNT <br />7� _ ! L5 <br />SUB TOTAL �G1� / <br />HOUR4 RqTE <br />� � �. . � � . . <br />TOTAL <br />