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A PPL:;z <br />No. �( <br />-FIXED CTV <br />L DEPOSITS Z 7S <br />CITY Of: EVERETT <br />APPLICATION FOR WATER SERVICE <br />SERVICE <br />ORDER NO. <br />DATE ._ 17---_ 1 SR <br />� <br />W. O. <br />�YA� X. a. r. D 6�nd SiOLK._11—Lor�3_AD�/�►EHyRs7' <br />SERVICE (NY ADOR [�[) — <br />OWNER INSTAL <br />// ff1l _ <br />L METERED SERVICE - -- - - <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EAISTING <br />rrn BIDNED: X - - --"-- <br />UK <br />MATERIALS <br />% IN. 1 IN. I A IN. <br />PRICE <br />AMOUNT <br />PIPE <br />COPPER GALV. - STEEL <br />CORPORATION <br />CURS COCK OT <br />— <br />SERVICE BOX <br />PLASTIC •• C I <br />I <br />— <br />METER VALVE <br />METE �'9� (� <br />TYPE{A#, I /1 <br />-- <br />_ — <br />METER SOX CONALLCRETE SMLARGE <br />DATE INSTALLED: <br />ON <br />OFF <br />7- 2 / '�, <br />'C <br />SUB TOTAL <br />RAT[ <br />LABOR AND EQUIPMENT RENTAL <br />HOURS <br />CODE I <br />- <br />I------- <br />- - <br />I <br />TOTAL <br />REMARKS: <br />