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APPL. <br />No. �� •� <br />D FIXED <br />�g DEPOSITS <br />SERVICE (my <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />SERVICE <br />ORDER 0 <br />DATE—A <br />2 <br />1 <br />W O. <br />CA <br />i <br />SLK.. LOT_/AD <br />INSTALLEf y 'MTTRWED SERVICE --- <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING EIONt0: X%Z•s��J�__ <br />OR AS SAME MAY BE HEREAFTER CHANGED, <br />PIPE <br />CORPORATION <br />CURB COCK OT <br />MATERIALS <br />COPPER — GALV. — STEEL <br />M IN. I <br />1 IN. E IN. 11 <br />_ <br />PRICE <br />AMOUNT <br />SERVICE DOX <br />PLASTIC •• C I <br />I <br />METER VALVEMETER NO. NO. _ _ _ _— TYPE: <br />METED f:OX CONCRETE SMALL LARGE <br />_ <br />DATE INSTALLED' <br />CODE <br />ON <br />�r�Z/I 1 OFF <br />LABOR AND EQUIP M ENf RENTAL/�y���/.�A <br />SUB TOTAL <br />NOU R! RATE <br />TOTAL <br />REMARKS: <br />