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APPLI <br />No. 2 (o 7 2-V CITY OF EVERETT ORDEIRt �O <br />APPLICATION FOR WATER SERVICE--,��484 <br />FIXED / DATE 10 <br />7. <br />DEPOSIT s �JW.O. <br />❑ /1 0 {2 <br />SERVICE (BY ADDRESS) 70% 70 ^ 1C� ---BLK.- LOT_Z3—ADD.G)'/kIl4� C Q <br />OWN <br />INSTALL___1�`S--METERED SERVICE <br />I HEPEBY APPLY FOR THE !SE 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 />COPPER -• GALV. - STECt_ <br />K IN. <br />I 1 IN. S IN. <br />I <br />PRICE <br />AMOUNT <br />_PIPE <br />CORPORATION <br />_ <br />CURB COCK <br />OT <br />SERVICE BOX <br />METER VALVE <br />METER No <br />METER BOX <br />PLASTIC -• C 1 <br />TYPE: —_I it <br />CONCRETE SMALL LARGE <br />—A <br />DATE INSTALLED: <br />."I —2-7— -P <br />L� +y ON <br />11'� OFF <br />SUB TOTAL. <br />COOS <br />� <br />LABOR AND EOUIPMENf RENTAL <br />,L HOURS <br />I <br />RATE <br />TOTAL <br />REMARKS: <br />