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APPL.'% 3 /3 APPLICATION FOR SERVICE SERVICE 1257 <br />No. ORDER <br />/ CIT EVERETT WATER DEPT. <br />FIXED /J DATE <br />DEPOSITS � `-.��16'' 'V 0. <br />No <br />a / <br />SERVICE (BY ADDRESS)— `� : -1/' zz- ELK. LOT ADD <br />(O�NER <br />/FLAT <br />TN=TaYr- T METZMED SERVICE l {_e <br />1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE'' <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />SIGNED: <br />PIPE <br />MATERIALS <br />COPPER <br />?i IN. <br />L I`IN. 1 2 IN. <br />PRICE <br />AMOUNT <br />�GALV.STECL <br />CORPORATION <br />CURB COCIZ <br />SERVICE BOX <br />O <br />PLASTIS -- C <br />METER VALVE <br />METER No. TYPE: <br />I {f <br />- __- -- <br />METER BOX CONCRETE SMALL LARGE <br />I <br />DATE INSTALLED:^� <br />I 70 <br />�ON <br />OFF <br />�j/' SUB TOTAL <br />a <br />CODE <br />LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />12. <br />TOTAL i <br />t o <br />r/�l//� <br />