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APPL.�� - - CITY OF EVERETT <br />No. o^� <br />APPLICATION FOR WATER SERVICE <br />❑ FIXED <br />DEPOSIT s_rnd <br />SERVICE <br />ORDER -0 C <br />DATE �/ JI% f(4.. <br />No O. <br />I NSTALLffl(-y— METERED SERVICE <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED: <br />MATERIALS <br />PIPE COPPER -- GALV. - STEEL <br />%IN. <br />1IN.I l IN. <br />I <br />I <br />_ <br />PRICE <br />AMOUNT <br />_ <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX PLASTIC -- C I <br />METER VALVE <br />METER No. TYPE: <br />METER BOX CONCRETE SMALL LARGE <br />DATE INSTALLED: l�l'L fi <br />l <br />(11�014 <br />I OFF SUB TOTAL <br />CODE LABOR AND EOUIPMENf RENTAL HOURS <br />RATE <br />TOTAL <br />REMARKS: <br />