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APPL. /,3 APPLICATION FOR SERVICE <br />No. <br />/3'f'Z3 C171)OF EVERETT WATER DEPT <br />FIXED <br />IJ- DEPOSIT S <br />%SERVICE (SY ADDRESS). gLK._ <br />�j� F�� - -- CONTF 4CTOR_ <br />N METERED SERVICE <br />1 HEREBY APPLY FOR 7HE USE OF WATER. IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME M"Y SL HEREAFTER CHANGED. <br />SERVICE IV2 69 <br />ORD <br />DAT 1 _±�M_JBL <br />W. O. <br />�•�nw�e <br />PIPE _COPPER - GALV. -- STEEL <br />CORPORATION <br />iS IN. <br />I IN. <br />{;!f!. <br />PRICE <br />AMOUNT <br />'CURB COC OT <br />SERVICE DOX PLASTI__ C I <br />METER VALVE _ <br />METER No. TYPE:( <br />— <br />[J� <br />— <br />METER BOX CONCRETE SMALL LARGE <br />DATE INSTALLED: ❑ OFF SUB TOTAL <br />CODE I LADOR AND EOUIPMENT RENTAL HOURS RATE <br />74 I <br />LiIs <br />c <br />� <br />I <br />I <br />TOTAL <br />.i <br />