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• APPL. a J 7 3 h <br />No. <br />i <br />FIXED <br />DEPOSITS <br />SERVICE (mY ADDRE9) <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />INSTALL-�W �101�ERED SERVICE <br />-- <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />ORDER <br />��E NO. p' ! F � n() 7 <br />DATE.cC:l C ' 0 1 SIM <br />OR AS SAME MAT <br />Bc <br />MATERIALS <br />WIN. <br />ION. <br />A <br />I <br />PRICE <br />AMOUNT <br />PIPE <br />COr-ER -- GALV. - STEEL <br />CORPORATION <br />CURB COCK <br />_ <br />COT <br />--I <br />—' <br />SERVICE BOX <br />METER VALVE <br />METER No. <br />METER BOX <br />PLASTIC - C 1 <br />TYPE: <br />CONCRETE SMALL LARGE <br />— <br />— <br />— <br />— <br />/ I ON <br />-' - � � OFF <br />DATE INSTALLED: -�-� <br />SUB TOTAL <br />LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />CODE 'i <br />----------- <br />-- <br />'TOTAL <br />REMARKS: <br />