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APPL. 2 DZ6lp <br />No. <br />FIXED <br />APPLICATION FOR SERVICE <br />CITY OF EVERETT WATER DEPT. <br />❑ DEPOSITS <br />SERVICE (BY ADDRESS)_ <br />✓��d <br />OWNER'�� � � � A � <br />� CO <br />INSTAU �3/r METERED SERVICE <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDIN NCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />___DLK. LOT. <br />SIGNED: <br />SERVICEN2 922 <br />ORDER. <br />W. O. - <br />,.., cm AL <br />PIPE C�OPP! l._GALV.•-STEEL <br />%. IN. <br />�F <br />I IN. <br />2IN. <br />PRICE <br />r <br />AMOUNT <br />CORPORATION <br />CURB COCK OT <br />96 <br />SERVICE BOX PLASTIC •• C I <br />METER VALVE <br />METER No <br />METER BOX CONCRETE MAL LARGE <br />I <br />ON <br />DATE INSTALLED: - _ ❑LO FF �' SUB TOTAL <br />CODE OILABOR AND EOU IPMENT RENTAL HOURS RATE <br />C <br />`•/ <br />�/ <br />�l <br />4�61111, <br />I <br />O TOTAL <br />cc <br />�7 <br />