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No. J, <br />❑ FIXED <br />DL DEPOSIT <br />SERVICE (BY ADDRESS) <br />INSTALL 3 <br />- CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />SERVICE <br />ORDER NO CJ/�((f,0,1�JfL� <br />DATE�� JI O'.JLI-'SV� <br />O. <br />-914 <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. SIGN[D:X -� <br />MATERIALS <br />A IN. <br />I 1 IN. S IN. <br />I <br />PRICE <br />AMOUNT <br />PIPE I4STI COPPER -- GALV. - STEEL. <br />CORPOR&UON <br />CURB CO OT <br />I <br />_ <br />SERVICEBOX CI <br />I---_ <br />MLASTIG <br />METER VALVE — <br />METER No. TYPE: I H_— <br />METER BOX CONCRETE SMALL LARGE- <br />--� <br />-- <br />60 -S, yDAt <br />- <br />I <br />— <br />ON <br />DATE INSTALLED: ��L�-R' � OFF <br />SUB TOTAL <br />CODE LABOR AND EOU IPM EN I R ENTAL <br />HOURS <br />RATE <br />- <br />I <br />TOTAL <br />REMARKS: <br />___ <br />