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10) <br />APPC� / / CITY OF EVERETT SERVICE q -� ,,'/I <br />No �`- ORDEERR/� 335 <br />�4 <br />APPLICATION FOR WATER SERVICE DAl(E ,,, —1� <br />❑ FIXED eo <br />DEPOSIT s .2 3S/ <br />SERVICE (BY ADDRESS) <br />INSTAL) (y MITERED SER�ICE__--- <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />car UAV RV carer ArTrR (HANGED. <br />W. O. <br />No._ <br />_BLK._ LOT_. - <br />MATERIALS <br />is IN. <br />I IN. <br />21N. I <br />PRICE <br />AMOUNT <br />PIPE <br />COPPER -- GALV. - STEEL <br />CORPOI <br />In <br />- <br />CURB COCK <br />OT <br />SERVICE BOX <br />PLASTIC -- <br />C 1 <br />METER VALVE <br />KU a 3 <br />_— <br />----- <br />— <br />METER No. <br />C} <br />I K <br />METER BOX <br />IDONCRET\ <br />S� LARGE <br />-�yn <br />DATE INSTALLED: I// ` <br />/ <br />r'v�ON <br />X❑l OFF SUB TOTAL <br />CODE <br />LABOR AND EQUIPMENT RENTAL ' HOURS <br />RATE <br />1 <br />� <br />TOTAL <br />REMARKS: <br />