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APPL. <br />NO. <br />❑ FIXED <br />O DEPOSIT <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />SERVICE (BY ADDREBS)_�' ;-=-' ! AVE ,L L f f/ -C7 moi' BLK <br />OWNE <br />INSTALL <br />9" ETERED SERVICE <br />SERVICE <br />ORDER <br />DATE <br />W. O. <br />No <br />Nom <br />LOT ADD <br />CONTRACTOR L/') ! <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 />MATERIALS <br />3/4 IN. <br />I IN. 2 IN. <br />I <br />PRICE <br />AMOUNT <br />PIPE COPPER -- GALV. -- STEEL <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX PLASTIC -- C I <br />METER VALVE <br />METER No. O 6. il TYPE: I -7r e G/s/O,i) s <br />METER BOX CONCRETE SMALL LARGE <br />DATE INSTALLED: /[J — 3 / - ' <br />N <br />I OFF SUB TOTAL <br />CODE I LABOR AND EQUIPMEN r RENTAL <br />HOURS <br />RATE <br />-Cr 0-0 -7C/-71 cq.7 0-C4W <br />_ i <br />I <br />I <br />I <br />TOTAL <br />REMARKS: <br />