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APPL.'� APPLICATION FOR SERVICE <br />No. <br />CITY OF EVERETT WATER DEPT <br />FIXED <br />DEPOSITS ip AD <br />SERVICE (BV ADADRES ) O 3 �D / �• �' C' B <br />OWNER'ey/Dzn% f- 0 .5 rz 4—CONTRACI <br />iP <br />INSTALL METLATERED SERVICE <br />j 1 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. SIGNED: <br />SERVICE NO. 1786 <br />ORDER <br />DATE- <br />W, O. <br />No. -- <br />ADD. <br />MATERIALS <br />A IN. <br />I 1 IN. <br />E IN. <br />11 <br />PRICE <br />AMOUNT <br />PIPE _ COPPER - GALV. - STEEL <br />CORPORATION <br />_ <br />CURB COCK OT <br />_ <br />' SERVICE BOX PLASTIC - C I <br />I METER VALVE <br />METER No. TYPE: <br />Si <br />1 METER BOX CONCRETE SMALL LARGE <br />I <br />O ON <br />DATE INSTALLED: OFF <br />SUB TOTAL <br />COOK LABOR AND EQUIPMENT RENTAL <br />NOURS <br />RATE <br />I <br />- <br />TOTAL <br />REMARKS:_ <br />(� p <br />