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No. 000CCC <br />FIXED <br />DEPOSITS Od <br />. CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />SERVICE <br />ORDER NO. <br />DATE_4;& <br />q. O. <br />SERVICE (NY ADDREtt)..' �_. n� .S_�i BLK.. LOT_. iL_AD�Ii��,ld_L%'�__ <br />OWNER�y1 Q�_�d�SO�(!—CONTgACTOR__�__ GAR Dews <br />INSTALL! <br />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 <br />OR AS SAME MAY BE HEREAFTER CHANGED nagtD:X v �� <br />MATERIAL[ Y1 IH <br />- <br />PIPE COPPE - OALV. -STEEL <br />CORPORATION <br />1 IN, ■ IN. <br />1 <br />I� <br />PRICE <br />AMOUNT <br />-- <br />CURB COCK OT <br />— <br />SERVICE BOX PLASTIC <br />METER VALVE <br />TER No. TYPE: 11 <br />METER BOX CONCRETE SMALL LARGE <br />-- — - <br />_-- -"- <br />— <br />DATE INSTALLED: ZZZ <br />/% % <br />F-1 ON <br />I&/OFF <br />SUB TOTAL <br />COOL <br />LANOR AND[DUIPMENf RENTAL <br />NOURill <br />RATE <br />TOTAL <br />REMARKS: <br />