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APPA <br />No. � <br />g F. 'D e''�, <br />DEPOSIT S. 4 O _ <br />SERVICE (BY ADDRESS) <br />APPLICATION FOR SERVICE <br />CITY OF EVERETT WATER. DEPT. <br />SERVICL N2 2307 <br />ORDER <br />DATE— 4�& <br />IN 0. <br />No. __ <br />DLK LOT­JG-.A0 <br />INSTALL�s��METERED SERVICE _ <br />I HEREBY PLY 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 />MATERIAL/ <br />YI IN. <br />I I IN. 1 E IN. <br />I <br />PRICE <br />.OU NY <br />I PIPE <br />COPPER -- GALV. - STEEL <br />I CORPORATION <br />1 CURB COCK <br />OT <br />SERVICE BOX <br />PLASTIC -- C I <br />METER VALVE <br />`METER No. <br />TYPE: <br />METER BOX CONCRETE SMALL LARGE <br />I <br />DATE INSTALLED:// <br />j) �f 7 <br />f0 ON <br />F] OFF <br />SUB TOTAL <br />CODE <br />LABOR AND EOUIPMENI RENTAL <br />HOURS <br />RATE <br />,I <br />TOTAL <br />REMARKS: <br />� -- -—�t-'r""'=—fay-��'t rt . �� _ '_ / �----•=I<<.��T _ _ — __ _.___ <br />