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APPL. 9 / 9 APPLICATION FOR SERVICE <br />No. <br />l95`7q CITY OF EVERETT WATER DLPT <br />A FIXED <br />DEPOSIT IS /40&). O� <br />J/J1 <br />SERVICE (BY ADDRESS) -- _BLK- <br />OWNER ----C <br />B FLAT <br />INSTAL I Mg*eff ) SERVICE— __- <br />1 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. <br />SIGNED: <br />SERVICE N2 169 <br />ORD <br />DAT <br />W. <br />' <br />MATERIALS <br />'A IN. <br />1 IN. E IN. <br />I <br />PRICE <br />AMOUNT <br />PIPE <br />COPPER - GALV. -- STEEL <br />CORPORATION <br />I <br />CURB COCK O <br />I <br />' <br />SERVICE BOX <br />(PLASTIC-- C 1 <br />_— <br />METER VALVE <br />METER No. _-------- <br />TYPE: ---- <br />I K <br />METER BOX CONCRETE SMALL LARGE <br />I <br />I <br />I <br />- <br />_ <br />I <br />DATE INSTALLED: <br />? <br />ON <br />Ef- <br />0. OFF <br />�SUB TOTAL <br />COON <br />LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />� I <br />J <br />TOTAL T <br />REMARKS: <br />