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APPL. SERVICE .� <br />No. �5r.3D <br />3 CITY OF EVERETT oRER NO. 438-7 <br />I <br />APPLICATION FOR WATER SERVICE <br />O FIXED DATE —IOd�_ <br />fp'DEPOSIT S (2,p� �dC� Wo O. <br />.wg9y9t� 1tRr,.ot S. E. �m ..ps+pA�i ,,,�,,,,��.. <br />SERVICE (My ADOP[[[1 7CODS Anm+KMX4.4 —SLK._ LOTX[_AOD.lLLL-�V1 _yQ. <br />SERVICE ---- <br />I HEREBY APPLY FOP 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 EIGNED:X <br />MLTERPALS <br />% IN. <br />1 IN. i IN. <br />I <br />PRICE <br />AMOUNT <br />PIPE _ <br />CORPORATION <br />CURB COCK <br />SERVICE BC X <br />METER VALVE <br />METER No. <br />METER BOX <br />COPPER -- GALV. - STEEL <br />----- - <br />OT <br />PLASTIC •• C 1 <br />TYPE: <br />CONCRETE SMALL LARGE <br />— <br />_ <br />— <br />I <br />DATE INSTALLED. <br />- a - 8V <br />ON <br />OFF <br />SUB TOTAL <br />CODE I <br />LABOR AND EOUIPMEN l RENTAL HOURS <br />RATE <br />eo <br />TorAL j� <br />REMARKS: <br />