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,L, <br />9 <br />APPL. <br />No. <br />FIXED 00 <br />DEPOSIT s LQO <br />SERVICE (BY ADDREaq— �— <br />OWNER !.— <br />3� t( <br />INSTAL/ F ETERE[ <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <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. <br />SERVICE ['l <br />ORDER NO. ^ <br />DAT`q; Q C—X/ —19_1_ <br />W. O. <br />No. -- <br />MATERIALS <br />PIPE (1S tj COPPER -- GALV. -- STEEL <br />W IN. <br />1IN. �� <br />PRICE <br />AMOUNT <br />_ <br />CORPORATION <br />CURB COCK OT <br />_ <br />SERVICE BOX PLASTIC -- C 1 <br />I <br />METER VALVE /CU23- 33_2-w— <br />_ <br />METER No. 7y 15 /�f%(,TYPE: I_ 51 <br />METER BOX CONCRET (SMALL LARGE <br />ui a"ate <br />- —�— <br />�15073 I <br />L�� <br />—4s �— <br />[,op l b S To coArSQ Fvow� 5 <br />ON <br />DATE INSTALLED: , 7 L- Q C OFF SUB TOTAL I <br />CODE LABOR AND EOUIPMENF RENTAL HOURS <br />RATE <br />x_I b/fR <br />- <br />ji <br />if <br />#L ZZD(a <br />TOTAL <br />I <br />