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NApp <br />o. � 7 �� <br />FIXED l �j ,( <br />Le <br />DEPOSIT S ` �CJy -� <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />SERVICE <br />ORDER NO. <br />W. O. <br />SERVICE (BY ADDRESS) <br />1 -7 0/ Lr lG��•Q/UG .. BLK._! �E LL+I/ �YADD.-!fJ>< <br />OWNER — ---CONTRACTOR <br />INSTALL TERED SERVIC -- <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE _J <br />ORDINANCES AND POLICIES OF THE WMER DEPARTMENT NOW EXISTING SIGNED: X - <br />R CHANGED <br />OR AS SAME MAY BE HEREAFTE <br />MATERIALS )i IN.I I IN. 2 1 <br />I <br />_PRICE <br />AMOUNT <br />PIPE COPPER -- GALV. -- STEEL <br />CORPORATION <br />_ <br />CURB COCK OT <br />--I <br />-- <br />SERVICE BOX PLASTIC -- Cl <br />METER VALVE �_a <br />METER No. 3 PE IH FM'7 I Si <br />METER BOX CONCRETE SMALL LARGE <br />_ <br />_— <br />I ON <br />SUB TOTAL <br />n OFF <br />DATE INSTALLED. "] <br />HOURS RATL <br />LABOR AND EDUIPMENf FENTAL <br />CODE <br />i <br />-- <br />TOTAL <br />REMARKS: <br />