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APPL.,,.j l/ `// � CITY OF EVERETT <br />No. /L <br />APPLICATION FOR WATER SERVICE <br />FIXED <br />6✓ <br />DEPOSITS <br />SERVICE I7TA=REBSI " ��/ • i �0���� <br />I HEREBY APPLY FOR THE TSE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. SIONEO:X <br />SERVICE <br />C <br />ORDER �)y1�NN <br />DATE III J <br />10 <br />O. <br />—LOT-9--ADDk&—/ K-g <br />MATERIALS <br />PIPE OLA5ne, _ <br />CORPORATION <br />CURB COCK OT <br />- EEL <br />A IN. <br />I I IN. A IN. <br />T <br />I <br />PRICE <br />AMOUNT <br />SERVICE BOX PLASTIC -- C I <br />METER VALVE <br />METER No. C,% _ _ TYPE• <br />ETER BO) CONCRETE SMA LARGE <br />--- <br />AmL ttL--� <br />_ <br />I <br />_�I <br />I <br />I <br />DATE INSTALLED: a ,. �j' 8� <br />ON <br />OFF <br />ry,/ <br />/ / SUB TOTAL <br />CODE LABOR AND EOUIPMENI RENTAL <br />NotrRs <br />RATE <br />I <br />I <br />I <br />u—__ <br />_k <br />TOTAL <br />REMARKS: VIM <br />