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No. APPLICATION FOR SERVICEO <br /> s[Rvle[N. 1665 <br /> �X[D CITY OF EVERETT WATER DEPi'. ORDER <br /> pV DATE <br /> DEPOSIT �s.�� Wy <br /> ^ ` / No O— p <br /> 8[ ` (Q ?RVIC[ (NY ADDRUG)_ll� V 7ST <br /> OWNER G_ZLt._r!Y_— ��� _fir LO I)OAS t?2!1; 'O`Z <br /> ' PUT CONTRACTOR.,Q(Jl <br /> INSTAL �/ M/S.1po BERVICt 1 ( <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMFNT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. <br /> PIPE <br /> MATERIAL@ 1♦ --�,— <br /> IN. 1 IN. AIN, � <br /> COPPER-GALV. -STEEL PRICK AMOUNT <br /> CORPORATION <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC .- <br /> METER VALVE <br /> —METER No. TYPEI — <br /> M[TER BOX CONCRETE SMALL LARGE <br /> DATE INSTALLED; <br /> I OrS "FF SUB TOTAL <br /> COD[ I LA[OR AND[gUIPM[NT RENTAL <br /> �%y NO11R9 RATE <br /> -- -yam-------------- --_-_----- -- <br /> REMARKS: TOTAL <br /> i <br />