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APPI- <br />No. <br />FIXED 7 <br />—e-DEPOSIT s <br />SERVICE ley <br />FLAT <br />APP ICATION FOR SERVICE <br />CITY F EVERETT WATER DEPT <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 />6ERVI N0 5 <br />ORD <br />W!6. <br />No._ -- <br />MATERIALS <br />YI IN. <br />I 1 rN. I A IN <br />I <br />PRICE <br />AMOUNT <br />PIPE <br />OPPER GALV.--STEEL <br />7 <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX <br />PLASTIC -- C 1 <br />/ <br />_I <br />�I <br />� <br />oit <br />O <br />METER VALVE <br />METER No. <br />TYPE: <br />METER BOX CONCRETE SMALL LARGE <br />! <br />2,.AID <br />DATE INSTALLED: / / <br />/Z, D <br />�Gn' <br />❑ OFF <br />6U8 TOTAL <br />A/ <br />CODE <br />LASOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />r <br />r <br />TOTAL <br />q <br />rI <br />REMARKS: �\ / j ♦:: .f .. •. - <br />