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Ij <br />y, <br />S. <br />>rM' <br />i^2 <br />4, <br />APPL NC. Z 3 <br />T % / <br />FIXED <br />4� <br />DEPOSITS O Q <br />SERVICE ce woDRE118)- <br />OWNER=6 <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />IN5TALL-_:�/1i__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 SAME MAY BE HEREAFTER CHANGED. SIGNED:X <br />SERVICE <br />ORDERS NO. <br />DATE <br />W. <br />No. <br />i <br />MATERIALS <br />'A IN. <br />I IN, 12 IN, <br />I <br />PRICE <br />AMOUNT <br />PIPE ms-r`_ COPPER.. GALV. --STEEL <br />CORPORATION <br />CURB COCK OT <br />/ <br />SERVICE BO PLASTIC -- C 1 <br />METER VALVE <br />METER No. TYPE: I 1f <br />METER BOX CONCRETE SMALL LARGE <br />I <br />I <br />- <br />DATE INSTALLED: /�� <br />IhJ lVJ <br />ON <br />I OFF SUB TOTAL <br />❑ <br />CODE LABOR AND EOUIPMEN I RENTAL <br />HOURS <br />RATE <br />TOTAL <br />REMARKS: <br />