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I, <br />APPL.' " V <br />No,a <br />FIXED <br />BfJ <br />DEPOSIT g 1715. <br />APPLICATION FOR SERVICE <br />CITY OF EVERETT WATER DEPT, <br />SERVICE (Br ADDRESS ) ✓ / /q�k� <br />OWNER_ /C /a-� r C <br />�-r= <br />INSTALL Z 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 SAM.' MAY BE HEREAFTER CHANGED. <br />SIGNED: <br />SERVICE N2 757 <br />ORDER <br />DATE_Ig <br />W . O. <br />MATERIALS <br />ii IN. <br />1 IN. <br />2 IN. <br />PRICE <br />AMOUNT <br />PIPE COFFER <br />GALV. - STEEL <br />CORPORATION <br />/ <br />I <br />CURB COCK OT <br />SERVICE BOX PLASTIC -- <br />C I <br />METER VALVE <br />METER No..SR/�� �GO�S oZ 1C. TYPE:„(! I A <br />METER BOX CONCRETE Al: LARGE <br />5�1d <br />I <br />gQ <br />I <br />M <br />I <br />a <br />I <br />DATE INSTALLED:. - <br />-�/ �o/N <br />SUB TOTAL <br />160 <br />CODE LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />H11 <br />/Ell <br />I <br />_ <br />I <br />I <br />TOTAL <br />REMARKS: <br />