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APPL./�{�jrn <br />NO. L��iii ��, CAI! <br />O/F IXEED <br />./ <br />DEPOSIT <br />SERVICE (BY <br />SERVICE NO 11.237 <br />ORDER <br />QQ""7 <br />DATEc�,%� <br />Vy�/ O. t� 1!I <br />No- <br />.LOT -ADD t <br />C. 1 <br />/ N FLAT Me, <br />L INATALz 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 •'� f11, <br />OR AS SAME MAY BE HEREAFTER CHANGED.,yY-�-- <br />APPLY ATION FOR SERVICE <br />CITY OF EVERETT WATER DEPT. <br />9L S �pG. 5. _—BLK.__. <br />MATERIALS <br />li IN. <br />I 1 IN. <br />a IN. <br />I <br />PRICE <br />AMOUNT <br />PIPE COPPER- GALV. - STEEL <br />CORPORATION <br />CURB COCK OT <br />I <br />I <br />I <br />SERVICE BOX PLASTIC - C I <br />METER VALVE <br />METER No. TYPE: <br />METER BOX CONCRETE ..MALL LARGE <br />DATE INSTALLED: 7r� <br />ON <br />I a 0FF,31�'/ BUS TOTAL <br />COO[ LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />i <br />II <br />TOTAL <br />REMARKSi <br />