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APPL.�,.,^CITY OF EVERETT <br />� <br />No. C,6J� <br />APPLICATION FOR WATER SERVICE <br />r�i• FIXED ` <br />DEPOSITS l 7O. <br />SERVICE (BY ADDRESS) /- /` jr-d 6K f 6 —BLK.. ^ LOT <br />SERVICE <br />ORDER O 57 <br />DATE. <br />t7 <br />INSTALL METERED SERVICE_ - <br />I RAPPLY 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. eIQNEo:% <br />MATERIALS <br />ii IN. <br />I IN. I 1 IN. <br />PRICE <br />AMOUNT <br />PIPE <br />CORPORATION <br />_ COPPER -• GALV. -• STEEL <br />CURB COCK <br />SERVICE BOX <br />OT <br />PLASTIC -• C 1 <br />I <br />METER VALVE <br />METER No. --- <br />METER BOX <br />TYPE: --- I 4 <br />CONCRETE SMALL LARGE <br />_— <br />DATE INSTALLED: JUL 19 imi <br />ON <br />� - OFF <br />SUB TOTAL <br />CODE <br />LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATC <br />I <br />TOTAL <br />REMARKS:-_- <br />