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CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />1CX FIXED <br />DEPOSIT S (f) <br />SERVICE uv AODRpt1.�Q�0 <br />INSTALL— 6/� <br />lrLATlf RED SERVICI <br />1 HEREBY APPLY FOR THE USE OF WATER <br />ORDINANCES AND POLICIES OF THE WATER <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />MATERIALS <br />IN ACCORDANCE WITH THE <br />DEPARTMENT NOW EXISTING <br />SIGNED: X <br />SERVICE <br />ORDER NO 5369 <br />DATE—$1a, ---�-19,k�! <br />W. O. <br />No._ <br />PIPE COPPER -- GALV. -- STEEL <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX PLASTIC -- C I <br />fIN.12IN. <br />I <br />—I <br />II <br />— <br />PRICE <br />AMOUNT <br />-- <br />METER VALVE <br />— <br />— <br />METER No. TYPE: <br />I .S <br />METER BOX CONCRETE SMALL LARGE <br />I� <br />DATE INSTALLED: r r� <br />I J <br />I ON <br />OFF <br />SUB TOTAL <br />CODE LABOR AND EQUIPMENT RENTAL <br />HG:IRS <br />RATE <br />I <br />TOTAL <br />REMARKS: <br />