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APPL. / % C /4f <br />NO./ 1✓✓ <br />}7jc/FIXED <br />n DEPOSIT <br />SERVICE (B YADDRESS) <br />APPLICATION FOR SERVICE <br />CITY OF EVERETT WATER DEPT <br />J / f FLAT <br />INSTALL _.7 — 1g9114NIIN SERVICE — <br />--- <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITP THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />SIGNED: <br />SERVICEN2 331 <br />ORDER <br />DATE //—/7 _14L <br />W. O. / <br />N ATER I A L.S <br />V, IN. <br />I IN. 21N. <br />T <br />PRICE <br />AMOUNT <br />PIPE COPPER -- GALV. -- STEEL <br />CORPORATION <br />%Q <br />V <br />- - <br />UR13 COCK OT -- <br />SERVICE BOX PLASTIC -- C 1 <br />O <br />METER VALVE <br />METER No. TYPE: I 4 <br />METER BOX CONCRETE SMALL LARGE <br />I <br />DATE INSTALLED: <br />ON <br />OFF <br />SUB TOTAL <br />CODE I LABOR AND EDUIPY.LNi RENTAL <br />NOURS <br />RATE <br />1(2 <br />_ <br />I .20 <br />TOTAL <br />�REMARKS: <br />yQ2Lp— <br />.+LL <br />