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APPL./ ,C, f IoI <br />.No. <br />FIXED <br />QI DEPOSITS <br />SERVICE (tY ADDRMS) <br />APOLICATION FOR SERVICE <br />CITY OF EVERETT WATER DEPT. <br />;mac/ - S. 3'�, 41/ �-. <br />INSTAL I METERED SERVICE <br />1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />SERVE NO 1 3 0 5 <br />ORD R <br />BAT / �ilZe 19 <br />W. O <br />UK NJ DAML mn. ec ........ ........___. <br />MATERIALS <br />°w IN. ` <br />f IN. <br />= IN• <br />i <br />PRICfi <br />AMOUNT <br />PIPE COPPER - GALV. - STEEL <br />CORPORATION <br />_ <br />CURB COCK OT <br />SERVICE BOX PLASTIC -- C 1 <br />METER VALVE <br />_.- <br />---- <br />G Op Q.,, <br />METER No�ii �✓�/ / / 4 PE: 00 C <br />METER BOX CONCRETE SMALL LARGE <br />DATE INSTALLED:()/ ❑OFF <br />SUBTOTAL <br />- <br />CODE �LABOR AND EQUIPMENT RENTAL <br />I MOU RS RATE <br />A�rrii�I <br />r�raL <br />%9 <br />l l� <br />R EMA,,KS: <br />