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ND'L 73a3 CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />FIXED k, o P STING` .: <br />DEPOSIT <br />may- 77620 <br />SERVICE (AY ADDREAS)_ A_-1 (!C/ BLK.. LOT <br />INSTALLC2;WIMETER SERVICE—_:r/_�„jy�/✓/( L <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NON EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED: X <br />SERVICE (o (e l <br />ORDER No �6 0 9h <br />DATE—__IU— Tp <br />W. O. <br />iwwlemwu <br />PIPE COPPER -- GALV. -- STEEL <br />CORPORATION <br />CURB COCK OT <br />141N. <br />I IN. S Ill.0 <br />�I <br />PRICE <br />AMOUNT <br />SERVICE BOX PLASTIC -- C I <br />METER VALVE <br />METER No. s� 6 TYPE: <br />METER BOX CONCRETE SMALL- LARGE <br />_ <br />I <br />— <br />DATE INSTALLED: _ <br />ON OFF <br />I <br />SUB TOTAL <br />CODE LABOR AND EOUIPMENf RENT <br />HOURS <br />RATE <br />I <br />TOTAL <br />REMARKS: <br />