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AI'PL. 6?Dlf <br />No. <br />,�2O 44cz <br />FIXED <br />DEPOSIT. <br />s <br />9ERVICE (EY DRnp���Q(`� <br />OWNER 1i <br />APPLICATION FOR SERVICE <br />CITY OF EVERETT WATER DEPT <br />INSTALL '�'=%`,"' METERED SERVICE � <br />I HEREBY APPLY FOR 1i'E USE OF WATER IN ACCORDANCE WITH THE <br />ORD114ANCES AND PUIICIE; OF TIE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY Bf HF:IEAFTER CHANGED. NIGNED:X <br />SERVICE N2 1 1 6 0 <br />OROE <br />OAT I <br />PIPE OPPER - GALV. -- STEEL �-/ <br />CORPORATION <br />PRICE <br />AMOUNT <br />/ <br />I <br />---I{— <br />( J <br />L <br />J <br />- <br />CURB COCK OT <br />I� <br />SERVICE BOX PLASTIC -- C I <br />I <br />_ <br />METER VALVE —_ <br />METER No TYPE: <br />ei�/�TYPE: <br />�_ <br />METER BOX CONCRETE SMALL LARGE <br />ON <br />DATE INSTALLED: G�� I �L6FF�% SUB T,JTT <br />_ .,E — /iu <br />G{ <br />COO[ I LABOR AND EQUIFMtNT RENTAL NrVR_ <br />RATE <br />i <br />TOTAL <br />f <br />N <br />