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AP <br />NDPL / /T�L� AYVLICATION FOR SERVICE <br />1' ca[• ? V CITY OF EVERETT WATER DEPT. <br />JZ FIXED <br />DEPOSITS , .gel <br />SERVICE <br />SF.RV:CE NO 898 <br />ORDFR <br />P A/ 1 <br />DAT <br />IseL <br />W. O. <br />OWNER / CONTRACTOR <br />INSTALL METERED SERVICE <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED:X <br />- PIPE COPPF.T:-GALV -•STEEL <br />'� IN. <br />I IN. <br />jlIly9 <br />12 IN. <br />I�_ <br />PRICE <br />AMOUNT <br />CORPORATION <br />--�-�� <br />CURB COCK OT <br />! <br />SERVICE BOX PLASTIC -- C I <br />! <br />I �� <br />METER VALVE- <br />/ <br />METER No.J .�� _IG �S •I k�/�YPE �J� ! <br />;S, <br />METER COX CONCRETE aMAL' LARGE <br />! <br />I <br />DATE INSTALLED: <br />/�-//.`r�y <br />ON <br />TOFF <br />i- <br />SUB TOTAL <br />CODE LABOR AND EQUIPMENT RENTAL <br />- <br />� HOURS <br />RATE <br />I iZ&1, <br />TOTA <br />24, <br />//90) <br />3 <br />