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No. /'Q60.� APPLICATION FOR SERVICE <br />. CITY OF EVERETT WATER DEPT. <br />FIXED <br />DEPOSIT <br />SERVICE (BY ADDRESS) <br />FLAT <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE (: <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />•v u• .r ucRCACTCR PRANf.FD SIGNED: <br />SERVICEN° 90 <br />ORDER <br />DATE 1 7 <br />N o -3 W. <br />MATERIALS <br />ii IN. <br />1 IN. I IN. <br />I <br />PRI E <br />AMOUNT <br />PIPE <br />GALV. -STEELZZL <br />•S/`_ <br />q <br />CORPORATION <br />kCURB COCK OT <br />_(16CIPPIERl <br />_ <br />SERVICE BOX <br />PLASTIC -- G 1 <br />METER VALVE <br />— <br />METER No. <br />TYPE: <br />I if <br />METER BOX CONCRETE SMALL LARGE <br />- <br />I <br />I <br />DATE DATE INSTALLED: <br />.7 <br />-ON <br />OFF <br />I El <br />`., i <br />/ <br />T) <br />SUB TOTAL <br />CODE <br />LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />- <br />S <br />7 <br />o rd <br />--� <br />r.DJ' <br />Ic <br />�� <br />ii <br />REMARKS: <br />