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i <br />NaP�k �p APPLICATION FOR SERVICE SERVICE ND 712 <br />�l � -,CITY OF EVERETT WATER DEPT. ORDER <br />,.; <br />ErfIXED <br />DEPOSIT 1j /5 ,�� W.O. <br />I! c r F <br />/1�LYlAITA�.✓ <br />SERVICE (MY woDRGO. 'o 2/ '� •� J.4 SLK.__/-_LOT /`" ADD._.Y���__ <br />INSTALL "'r MSW*RBD SERVICE- _ <br />I HEREDY 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, SIGNED:% <br />MATERIALS <br />{y IN. <br />1 IN. <br />SIN. N.� <br />PRICE <br />AMOUNT <br />I PIPE_ <br />COPPER -•GALV. - STEEL <br />CORPORATION <br />FiU RB COCK <br />OT_ <br />—t— <br />SERVICE BOX <br />METER VALVE <br />METER NO. <br />METER BOX <br />PLASTIC •• C 1 <br />TYPE: I 4 <br />CONCRETESMALL LARGE <br />-I <br />DATE INSTALLED <br />❑ ON <br />I ❑ OFF <br />SUB TOTAL <br />. CODE <br />LAEOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />TOTAL <br />I <br />I REMARKS: ,// rTL <br />-/ '. i. - <br />