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APPL. - <br />No. Ot _5 0 <br />FIXED <br />• DEPOSIT s 4 <br />SERVICE (BY -ADDRESS) JC7 <br />• <br />// <br />INSTAL <br />I HEREBY APPLY FOR <br />ORDINANCES AND P01 <br />OR AS SAME MAY BE <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />ED SERVICES_ —_ <br />OF WATER IN ACCORDANCE WITH THE <br />THE WATER DEPARTMENT NOW EXISTING <br />SLK.. LOT. <br />SERVICE /� <br />ORDER NO. 4 J 1 <br />DATwy4� to <br />W. O. <br />SIGNED: X�p�_ <br />MATERIALS <br />K IN. <br />1 IN. 2 IN. <br />PRICE <br />AMOUNT <br />PIPE <br />COPPER -- GALV. -- STEEL <br />CORPORATION <br />CURB COCK <br />OT <br />SERVICE BOX <br />PLASTIC -- C 1 <br />METER VALVE <br />METER No. <br />METER BOX <br />Yy <br />': 9 6 TYPE:A/Cri ABL- I K <br />=CONCRETE SMALL LARGE <br />I <br />_ <br />DATE INSTALLED: / }ems <br />fta^ON <br />I i'E] OFF <br />cc__ <br />SUB TOTAL <br />CODE <br />LABOR AND EQUIPMENT RENTAL `i <br />HOURS <br />RATE <br />I_ <br />TOTAL <br />REMARKS: O p <br />