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v� r v SERVICE <br />No. <br />DI CITY OF EVERETT ORDER <br />APPLICATION FOR WATER SERVICE NO 18' <br />IK� FIXED DATE.-.- <br />��'�❑ DEPOSITS —(00— No. -- <br />SERVICE (BY ADDRESS). 11—C ILYQ , �3 c-E BLK.. LOT 0ADD. IIAi� <br />CONTRACTOR �— <br />INSTALI L-T -METERED SERVICE — <br />- <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 H<REAFIER CHANGED. <br />SIGNED: X - A D_4 14 <br />MATERIALS <br />1i IN. <br />IIN. I 21N. <br />I <br />PRICE <br />AMOUNT <br />PIPE COPPER -- GALV. -- STEEL <br />CORPORATION <br />I <br />_ <br />CURB COCK OT <br />I <br />_ <br />SERVICE BOX PLASTIC -- C I <br />I <br />METER VALVE <br />METER No. TYPE: I K <br />METER BOX CONCRETE SMALL LARGE <br />DATE INSTALLED: I lor✓ <br />IK ON <br />Qj[OFF <br />SUB TOTAL <br />CODE 'AROR AND EOUIPMENt RENTAL <br />HOURS <br />RATE <br />.-Ai <br />TOTAL <br />REMARKS: <br />