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NOPL. / / V 34' <br />14f <br />FIXED / <br />❑ DEPOSIT <br />SERVICE (BY ADDRESS) <br />APPLICATION FOR SERVICE <br />CIT/1j.QF�EVERETT WATER DEPT <br />�•• T.J A FLAT <br />RGD SERVICE --- <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE C <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING cI •NFD, <br />SERVICE ND 88 <br />ORDER <br />DATEfe <br />/� 1 <br />OR AS SAME MAT et <br />jIN.I <br />, <br />1 IN. 12 IN. <br />PRIIjC�E% <br />AMOUNT <br />MATERIALS <br />I�GALV <br />PIPE COPPPEEF <br />--STEEL <br />CORPORATION <br />I <br />— <br />CURB COCK OT <br />SERVICE BOX LASTI <br />•- C 1 <br />METER VALVE <br />— <br />'— <br />METER No. <br />TYPE: I 4i <br />METER BOX CONCRETE <br />SMALL LARGE <br />i <br />❑t.ON <br />SUB TOTAL <br />�•, �7 <br />DATE INSTALLED: /7 (, <br />OFF <br />LABOR AND EOUIPMC.NT RENTAL <br />HOURS BATE <br />CODE � <br />V^1 Ai <br />��L IJIJ <br />REMARKS: <br />