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APP <br />ND' !i (�C,q/& <br />❑ FIXED <br />© DEPOSITS c7C, cc) <br />SERVICE (BY ADDRESS) <br />ETERED <br />1 HEREBY APPLY <br />ORDINANCES AND <br />OR AS SAME MAY <br />crry OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />S <br />VCE WITH THE <br />NOW EXISTING <br />SIGNED: <br />SERVICE <br />ORDER NO. <br />DATE�L--_ I p;-X" <br />V4 O. <br />No. C- _ <br />Z <br />MATERIALS <br />GIN. <br />1 IN. t IN. <br />I <br />PRICE <br />--- AMOUNT <br />PIPE <br />COPPER •- GALV. - STEEL <br />CORPORATION <br />CURB COCK OT <br />SERV:^E BOX <br />PLASTIC -- C 1 <br />METER VALVE <br />METER No. <br />_ TYPE: cil_�L <br />METER BOX CONCRET <br />MALL LARGE <br />P/�� <br />—� <br />--- <br />__ <br />- <br />Lift" <br />i <br />DATE INSTALLED: <br />elON <br />❑ OFFrfia SUS TOTAL <br />CODE <br />LABOR AND EOUIPMENf RENTAL HOURS <br />RATE <br />TOTAL <br />REMARRB: <br />