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APPL. /JS6F <br />No. o� <br />❑ FIXED <br />Op <br />DEPOSITS <br />SERVICE (BY ADDREU) <br />CITY OF EVERETT <br />APPLICATION °OR WATER SERVICE <br />OWNER �'2 � - —e- CONTRAC' <br />3 " <br />INSTAL =RED SERVICE----- -_-. <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EMSTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED: <br />SERVICE .� <br />ORDER <br />�� NO. <br />DAT//�7_19rL� <br />W. <br />nib W IN. <br />I IN.I <br />2IN. <br />PRICE <br />AMbLQNT <br />PIPE <br />-- GALV. •• STEEL <br />CORPORATION <br />—COPPER <br />—I{ <br />CURB COCK <br />OT <br />SERVICE BOX <br />PLASTIC -• C I <br />METER VALVE _ <br />METER No. TYPE; <br />METER BOX <br />CONCRETE SMALL LARGE <br />DATE INSTALLED. <br />to — / 1 / O — Q <br />/ <br />ON <br />- <br />OFF <br />SUB TOTAL <br />CODE I <br />LABOR AND EOUIPMENf RENTAL <br />HOURS <br />RATE <br />LI�--I� <br />- <br />- <br />TOTAL <br />REMARKS. <br />1 m <br />