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No. 6 7 CITY OF EVERETT SERVICE <br />No. .J b ORDER NO.�- <br />APPLICATION FOR WATER SERVICE <br />DAT--1391- <br />FIXED <br />Ej DEPOSIT fNo <br />SERVICE (BY ADDRq[) O//-�- "l��•- � � BLK.- L07J� _ D. � ,� <br />9iv <br />INSTALLifL—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 />e ....rrn <br />MATERIALS <br />IN <br />I IN. 1 IN. <br />PRICE <br />AMOUNT <br />PIPE <br />CORPORATION <br />T1i <br />COPPER -- GALV. -• STEEL I <br />- <br />CURB COCK OT <br />SERVICE BOX <br />PLASTIC -- C 1 <br />METER VALVE <br />- <br />METER NO. TYPE: <br />METER BOX CONCRETE SMALL LARGE <br />I <br />DATE INSTALLED: <br />S' ✓ <br />ON <br />OFF <br />SUB TOTAL <br />COD[ <br />LABOR AND EQUIPMENT RENTAL <br />HOURS <br />Lw <br />S, Se..aC I <br />RATE <br />� <br />k.m�re <br />� Zoyy II�II <br />--- <br />I <br />TOTAL <br />REMARKS: <br />.4 <br />