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n <br />APPL. 9 S60i"7 CITY OF EVERETT <br />No. o� <br />APPLICATION FOR WATER SERVICE <br />FIXED <br />DEPOSIT f rp0 <br />SERVICE (BY ADDR .p Q <br />OWNERI? <br />.� . n .lT� <br />SERVICE <br />ORDER^],. NO.����/ <br />DATE81�,� 106!f~—Q1 GPL <br />W. O. <br />N0.- <br />,-F `- <br />yA' <br />r <br />1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE f.(„r, L <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMEFT NOW EXISTING .w�, <br />OR AS SAME MAY BE HEREAFTER CHANGED SIGNED: X 10 --- <br />MATERIALS --• <br />IN. <br />1IN.IN. <br />PRICE <br />AMOUNT <br />PIPE _ <br />CORPORATION <br />CURB COCK OT <br />COPPER -- GALV._STEEL <br />I <br />__ <br />SERVICE BOX <br />PLASTIC -- C I <br />METER VALVE <br />METER No. - <br />-- -- TYPE: - - I )I <br />METER BOX CONCRETE SMALL LARGE <br />DATE INSTALLED: <br />r <br />_�� <br />ON <br />Oi'F SUB TOTAL <br />_ <br />CODE <br />LABOR AND EOUIPMENr RENTAL LOURS <br />RATE <br />TOTAL <br />REMARKS: <br />