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.1 <br /> No. " MY OF EVERETT ORDERE NO. ;i <br /> APPLICATION FOR WATER SERVICE <br /> ❑ FIXEDEl DA1 •_ _iB <br /> DEPOSITS Woo^^• <br /> SERVICE ,., R[ul SLK._ LOT�F�A ( G <br /> OWNER OR--- <br /> L <br /> R L <br /> INSTALTIERED SERVICE _ <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. 81ONKO:X- <br /> MATERIALS 1G IN.I 1 IN.I t IN. PRICE AMOUNT <br /> PIPE COPPER-GALV.-STEEL <br /> CORPORATION <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC -- C 1 <br /> METER VALVE <br /> METER No. TYPE: <br /> METER BOX CONCRETE SMALL LARGE <br /> 1ON <br /> DATE INSTALLED: JJI — <br /> a� I OFF SUB TOTAL <br /> COOL LABOR AND EQUIPMENT RENTAL <br /> RENTAL HOURS RATE <br /> -- -� -ez - <br /> i <br /> TOTAL <br /> REMARKS: <br />