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No. <br />El FIXED a,p B 'CITY OF EVERETT etnvlet <br />APPLICATION FOR WATER SERVICE ORDER/ENO. 3642 <br />DEPOSITS 60 W. O. <br />O� NO. ryy/ <br />SERVICE IR• ADDDPl U@) Qz / �/'f l! �l EBLK._ LOT q�6lC ��.e4L1,.1 <br />OWNER-�/ i-.�_..�a✓ 'F O ti� ____ <br />INSTALL;2�METERED SERVICE _ <br />1 HEREBY APPLY FOR THE WITH USE OF WATER IN ACCORDANCE WITHE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW TH T <br />OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED:Y <br />- <br />PIPE <br />SERIAL* <br />COPPER - GALV. - STEEL <br />1i IN. <br />1 IN. <br />12 w <br />I <br />PRICE <br />AMOUNT <br />CORPORATION <br />CURB COCK <br />OT <br />SERVICE BOX <br />PLASTIC .. C 1 <br />METER VALVE <br />METER No. <br />TYPE: <br />I y <br />METER BOX <br />CONCRETE SMALL LARGE <br />I <br />DATE INSTALLED: <br />�O OO <br />ON <br />r-1 OFF <br />SUB TOTAL. <br />CODE LABOR AND EDDIPMENf RENTAL HOURS <br />RATE <br />TOTAL <br />HEMARKS: <br />