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APPL. „[ -7f CITY OF EVERETT SERVICE <br />No. v' ORDER O <br />APPLICATION FOR WATER SERVICES <br />)6 _FIXED DATE18 <br />hW.O. <br />DEPOSITS No.._ <br />SERVICE IBY AADDDREUye1/'L.L1 ��L1 3 ` � c �BLK.- LOT_DaADD. a <br />c ' p <br />OWNER ! .��'�� CONTRACTOR <br />INSTALI 1-4—METEREW 5LHVIc <br />I HERE7Y 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 UL NLKLArlcrt LRARUcu. •••••^---•• <br />MATERIALS <br />V. IN. <br />1 IN. 2IN. I <br />PRICE <br />AMOUNT <br />PIPE COPPER •• GALV. -- STEEL <br />CCnPORATION <br />- <br />_ _ <br />CIIRB COCK OT <br />_ <br />SERVICE BOX PLASTIC -- C I <br />, <br />METER VALVE_ <br />METER No. TYPE: I M <br />METER BOX CONCRETE SMALL LARGE <br />— <br />DATE INSTALLED: I f_��%�i <br />-ON <br />OFF <br />SUB TOTAL <br />CODE LABOR AND EOUIPMEN r RENTAL <br />I HOURS <br />RATE <br />TOTAL <br />REMARKS: <br />