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APPL. 3 !J j CITY OF EVERETT <br />No. / APPLICATION FOR WATER SERVICE <br />❑ FIXED <br />DEPOSITS 6 !/ <br />SERVICE (Br ADDRESS) <br />INSTAL —IFERN ED SERVICE — <br />1 HERESY APP Y FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />noniNAN[ES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />ORDER <br />DAT E NO. 4238 Q� <br />1811E <br />_ •— <br />W. O. <br />No.— — <br />BLK.. LOT'7 Ada• wlC <br />OR AS SAME MAY BE NENEAr LAN LRBRV <br />- _— <br />PRICE <br />AMOUNT <br />MATERIALS <br />M IN. <br />1 IN. 1 2 IN. <br />PIPE <br />COPPER •• GALV. •• STEEL <br />-- <br />— <br />CORPORATION <br />CURB COCK OT--- <br />SERVICE BOX <br />METER VALVE <br />METER NO. <br />PLASTIC •- C I <br />_ --- TYPE: <br />_ <br />-- <br />-- <br />— <br />_ <br />METER BOX CONCRETE SMALL LARGE <br />I <br />— <br />— <br />DATE INSTALLED: <br />I — <br />O <br />' / - r —� 3 I ONFF SUB TOTAL <br />l <br />- <br />- IIOURS IT <br />LABOR AND EDUIPM ENt RENTAL <br />- <br />COD[ I <br />CODE <br />i <br />I <br />TOTAL <br />REMARKS: <br />