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APR112A /./( <br />No. ..�� <br />❑ FIXED 4716G' l <br />DEPOSIT <br />SERVICE (BY ADDRESS <br />OWNER�u <br />' HEREBY APPLY FOR <br />ORDIN,NCES AND P01 <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />SERVI <br />-OF--WATER IN ACCORDANCE WITH THE <br />HE WATER DEPARTMENT NOW EXISTING <br />R rNANGFD SIGNED: X <br />SERVICE <br />ORDER NO. <br />DAldl�- <br />W. O. <br />No. ----- <br />ADD._ <br />MATERIALS <br />�i IN. <br />I IN. 2 IN. <br />PR <br />AMOUNT <br />PIPE <br />COPPER •- GALV. - STEEL <br />CORPORATION <br />- <br />— <br />- <br />CURB COCK <br />OT <br />SERVICE BOX <br />PLASTIC -- C 1 <br />Ri <br />METER VALVEMETER No. TYPE: (:r�7METER BOX CONCRETE SMALL LARGE <br />DATE INSTALLED: <br />PION <br />El OFF <br />SUB TOTAL <br />_ <br />- <br />CODE LABOR AND EOUIPMENr RENTAL <br />c:0Nrit'011c7a"r) <br />--FEE <br />HOURS <br />RATE <br />I <br />- <br />- <br />I <br />-- 36,6o <br />I <br />I <br />I <br />TOTAL <br />REMARKS: �, .J �<+�� <br />of —," GT.,- <br />9 <br />