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APPL. <br />No. <br />❑ FIXED <br />oAT <br />1� DEPOSIT f_ <br />SERVICE — <br />(BY ll oph EEET <br />OWNER�� <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />sE <br />Aue S'�OT <br />INSTALI E � 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. <br />SIGNED: <br />ORDER SERVICE NO. 4644 <br />'[�� <br />DATE 1V _I GQiL <br />L•2 <br />MATERIALS <br />K IN. <br />1 IN. E IN. <br />I <br />PRICE <br />AMOUNT <br />PIPE COPPER -- GALV. -- STEEL. <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX PLASTIC •- C 1 <br />METER VALVE <br />METER No. TYPE: <br />METER BOX CONCRETE SMALL IAROE <br />I <br />, <br />DATE INSTALLED: <br />❑ ON <br />❑ OFF SUB TOTAL <br />CODE LABOR AND EOOIPMENf RENTAL NOIIR% <br />1" <br />_ RATE <br />A <br />25 <br />_I <br />TOTAL <br />REMARKS: <br />