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APPL27,� �� CITY OF EVERETT <br />No. 000p�CCC APPLICATION FOR WATER SERVICE <br />o FIXED <br />❑ DEPOSIT g q'� <br />SERVICE (BY ADDRESS) <br />OWNER <br />ED SE <br />3 <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE ml" <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING SIGNED: X.L <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />MATERIALS IN. 1 I2 IN. N. ! <br />1 <br />PIPE d,.:t. C-i COPPER •- GALV. -- STEEL <br />CORPORATION US>� <br />CURB COCK OT <br />SERVICE BOX PLA! <br />METER VALVE <br />METER No. <br />METER BOX/ CONCRETE <br />DATE INSTALLED: 'I <br />CODE <br />1 <br />REMARKS: <br />C}. Cl <br />TYPE: I 54 <br />SMALL LARGE <br />ON <br />OFF <br />LABOR AND EOUIPMENF RENTAL <br />SERVICE <br />ORDER NO. <br />D - W. 0. <br />No. -- <br />PRICE 11 AMOUNT <br />SUB OTAL <br />HOURS RATE <br />5 <br />s fl <br />