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APPA <br />No. �� l� / <br />rj FIXED <br />00 <br />f] DEPOSITS _c;za_Q �— <br />CITY OF EVERETT <br />A.PPLICAT;ON FOR WATER SERVICE <br />SERVICE <br />ORDER N/JCL.._ <br />DATE (, _IB;1 <br />W. O. <br />SERVICE (BY ADDRESS)-_ate� .3 a oZ,..e_ //i BLK._ _LgOT gp i <br />// <br />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. <br />SIGNED: X .- <br />PIPE COPPER - GALV. -- STEEL <br />CORPORATION <br />% IN. <br />/ <br />I IN. 12IN. <br />I <br />I PRICEIT <br />�CsRB COCK OT <br />SERVICE BOX PLASTIC •C IMETER <br />VALVE <br />_-- <br />_METER No. TYPE: <br />I fs <br />--- <br />--_-- <br />METER BOX CONCRETE SMALL LARGE <br />I <br />ON <br />DATE INSTALLED: OFF SUB TOTAL <br />CODE LABOR AND LQUIPMENf RENTAL <br />�- HOURS <br />IRATE <br />TOTAL <br />