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APP21,%, 4 <br />No. • VV <br />FIXED <br />DEPOSIT S e e) <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />SERVICE <br />ORDER NO. <br />DATE W. 0. <br />—1921 <br />SERVICE (NY ADDRESS) Z r- 'A 5-'/ —BLK.- LOT__l__ N'I"/fJ-6►— <br />INSTALL —METERED SERVI <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE .PITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED:% <br />MATERIALS <br />li IN. <br />I 1 IN. I E IN. <br />PRICE <br />I jMOUNT <br />PIPE <br />COPPER_• GALV. -- STEEL <br />CORPORATION <br />I <br />CURB LUCK <br />SERVICE BOX <br />METER VALVE <br />METER No. <br />METER BOX <br />OT <br />PLASTIC- C I <br />_ TYPE: <br />CONCRETE SMALL LARGE <br />_ <br />_I <br />— <br />DATEINSTALLED: <br />` 7 d <br />/ <br />�� ON <br />�, OFF SUB TOTAL <br />CODE <br />LABOR AND EOUIPMENf RENTAL <br />HOUR@ <br />RATE <br />I <br />ono <br />I <br />TOTAL <br />REMARKS: <br />