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APPL�� APPLICATION FOR SERVICE SERVICENO <br />./�1t'�Q <br />No. ORDER <br />/�aT�• CITY OF EVERETT WATER DEPT. / <br />n FIXED DATE— --IpAz <br />DEPOSIT W6. O. <br />SERVICE (■ DORYp .� n a�-BLK._ _/.LOT ADC <br />OWNER R, <br />INSTALL / METERED SERVICE <br />I �L USE OF WATER IN ACCORDANCE WITH THE 1 �� <br />ORDINANDINAN CES AND POLICIES OF THE WATER DEPARTMENT F')W EXISTING <br />OR AS SAMC MAY 6E HEREAFTER CHANGED, EIQNmL <br />MATER I ALB <br />'AIN. <br />IIN. LIN. <br />I <br />PRICE <br />AMOUNT <br />PIPE <br />PPEN <br />GALV. - STEEL <br />1 <br />CORPORATION <br />CURB COCK <br />OT <br />_ <br />I <br />SERVICE BOX <br />PLASTIC <br />- C I <br />METER VALVE <br />9,- <br />METER No. 00 <br />x•%(/ <br />METER BOX <br />CONCRETD <br />SMALI- L.RGE <br />Z <br />i <br />J <br />�/= f <br />APPL. 1 92 <br />7 9 <br />— <br />_ <br />DATE INSTALLED:' - /-L^G7 <br />ON <br />.OFF <br />SUB TOTAL <br />63 <br />70 <br />COD!I <br />LAEOR AND EQUIPMENT RENTAL <br />I YOURS <br />RATE <br />TOTAL <br />REMARKS; <br />0 <br />