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NO. `-� �y< I <br />❑ FIXED <br />ry as <br />DEPOSITS <br />SERVICE (By <br />M- <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />OWNER�� (�(--CONTRAC1 <br />F <br />INSTALL METERED SERVIC <br />I HEREBY APPLE FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES ANO POLICIEF OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MA( BE HEREAFTER CHANGED. SIGNED: <br />SERVICE �. Ll 0j� <br />ORDER NO. <br />DATE ��• Zte-_.—IB= <br />W. O. <br />- � 7---A'. .l'cg <br />MATERIALS <br />ii IN. <br />1 1N. 2 1N_-/i <br />PRICE <br />AMOUNT <br />PIPE fT/C L; COPPER •- GALV. -- STEEL <br />CORPORATION /N <br />, <br />CURB COCK OT <br />SERVICE BOX PLASTIC -- C I <br />I <br />_ <br />METER <br />I--_ <br />/___ <br />— <br />— <br />METER No. O TYPE: CA 1?4 lI h <br />ETER BOX CONCREO 1f . SMALL) LARGE <br />( <br />DATE INSTALLED: _, /�J.r e <br />ON <br />❑ OFF <br />SUB TOTAL <br />CODEr LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />o- <br />I S <br />1,yXar <br />--------- ---'" <br />I S, <br />I s <br />— <br />ffll-5fi <br />-- <br />- - - I-- <br />TOTAL <br />REMARKS: <br />