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APPL.,/�T <br />ar-fiXED CDO <br />DEPO!,IT s <br />3F.RVICE (By A <br />.!. <br />APPLICAT!ON FOR SERVICE <br />CITY OF EVERETT WATER DEPT. <br />6 <br />SERVICE ND 1 91 1 <br />ORDER <br />DATE <br />W. O. <br />No. <br />Z ADD. <br />INSTALL" lf--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 />OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED: X <br />MATERIALS <br />A IN. <br />I 1 IN, I E IN. <br />PRICE <br />AMOUNT <br />PIPE <br />COPPER - GALV. - STEEL <br />CORPORATION <br />_ <br />CURB COCK <br />BERVICE BOX <br />OT <br />PLASTIC •• C I <br />�I <br />j <br />METER VALVE <br />_ <br />METER No TYPE: if <br />METER BOX CONCRETE SMALL LARGE <br />I <br />DATEINSTALLED: r <br />7-�� <br />m ON <br />❑ OFF <br />l� SUB TOTAL <br />- <br />CODE <br />LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />i <br />I <br />I <br />TOTAL I <br />REMARKS: Q/ <br />