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NAP o' 4(// / 73 <br />O FIXED <br />DEPOSIT S <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />ORDER[ NO. <br />OATE <br />No O. <br />SERVICE (MY ADDRESS) :3/ s BLK._ LOT ADD. <br />OWNER— �?j,, N- C <br />INSTALLLY� METERED SERVICE <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCO.IDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />MATERIALS <br />)i IN. <br />I IN. I E IN. <br />PRICE <br />UNT <br />PIPECORPORATION <br />CORPORATION <br />•• GALV. -• STEEL <br />I <br />—}— <br />—� <br />— <br />—COPPER <br />CURB COCK OT <br />j <br />SERVICE BOX <br />PLASTIC •• C I <br />I <br />METER VALVE <br />METER No. _ TYPE: <br />METER BOX CONCRETE SMA'_LARGE <br />DATE INSTALLED: <br />77 <br />[]?,ON <br />❑ OFF <br />SUB TOTAL <br />CODE <br />LABO.I AND EOUIPMENI RENTAL <br />HOURS <br />RATE <br />—_—. <br />-_- e el—4? <br />I <br />P�JI <br />�G.J <br />_ <br />9 TOTAL <br />REMARKS: <br />n � . <br />