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APPL. <br />No. <br />FIXED <br />DEPOSIT s <br />SERVICE (BY ADDRESS <br />CITY OFEVERETT <br />APPLICATION FOR WATER SERVICE <br />OWNER 1�oi• <br />A <br />INSTALL METERED 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 />u ANCEL <br />SIGNED: X <br />ORDERS NO. 4267 <br />D4TE/T_�' �3 —1SZ3 <br />0. <br />ON AO DAIRA RAI <br />cc..••�••---• <br />PRICE <br />A UNT <br />MATERIALS <br />VI IN. <br />1 IN. I <br />S IN. <br />I <br />PIPE <br />COPPER •• GALV. •• STEEL <br />CORPORATION <br />CURB COCK <br />OT <br />—I <br />SERVICE BOX <br />PLASTIC •• C I <br />_ <br />j <br />' <br />METER VALVE <br />------- <br />METER NO. <br />TYPE: <br />— <br />METER BOY. CONCRETE SMALL _LARGE <br />ON <br />DATE INSTALLED: �J _ O 1 I I , OFF <br />o 7 <br />SUB TOTAL <br />L <br />LABOR AND EQUIPMENT RENTAL <br />HOURA RATE <br />CODE <br />to <br />I <br />TOTAL <br />REMARKS: <br />