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APPL. �. V i <br />No. <br />rj�i. C 40*7 <br />W FIXED <br />Ei DEPOSIT g -c f <br />5ERVI <br />APPLICATION FOR SERVICE <br />CITY OF EVERETT WATER DEPT. <br />SERVICE.N2 1 1 0 4 <br />ORDER`' <br />DATE- <br />W. O. <br />No._.— <br />INSTAUJ / / ' _A&ERED SERVICE_--- <br />1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCr WITH THE " <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />ror LrTro rMANGrn SIGNED: <br />MATERIALS <br />1: IN. <br />I IN. I Y IN. <br />1 <br />PRICE <br />MOUNT <br />PIPE <br />COPFER- GALV.-STEEL <br />_ <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX PLASTIC - C 1 <br />METER VALVE <br />METER No TYPE: ,� K <br />METER Bhp)( CONCRETE SMALL LARGE _ <br />- <br />_ _ <br />_ <br />- <br />_ <br />ROg <br />-_— <br />� <br />I <br />n <br />DATE INSTALLED:_ <br />/ <br />/ <br />❑ ON <br />OFF <br />SUB TOTAL <br />CODE <br />LABOR AND EOUIPMENr RENTAL <br />HOURS <br />RATE <br />n/, <br />REMARKS: <br />