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6 <br />>H <br />.O :D <br />G H <br />ta" axa V1 <br />H ZH <br />/i C] <br />H0 <br />m� NPOPL 7b CITY OF EVERETT ORDER SERVICE NOD 6116 <br />.Hr. O APPLICATION FOR WATER SERVICE _IS� <br />Fj tDATE <br />Ht=17 FIXED <br />O Nty W . O. <br />DEPOSITS &rrDoNo.— <br />i H SERVICE ter,ABORueI--12kLu �'r—BLK..�y�L/}O�T�� ADD. <br />OWNER r/L.FLAT <br />1' r on CONTRACTOR_-i-{,LAi"= - <br />�� INSTALI ��'I II PLA ERED SERVICs --- -- <br />❑ I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />CO OR AS SAME MAY BE HEREAFTER CHANGED. SIBNEo:%. �- —�-- <br />yO W /. MATERIALS 'AIN. I IN .I I IN. PRICE AMOUNT <br />PIP �0(D 7 COPPER--GALV.-STEEL 1 - <br />SCURD ea 314004SM7 <br />SERVICE BOX PLASTIC -- C I <br />METER VALVE -- _ --_ <br />METER NO. TYPE: <br />% C�O S y7 <br />METE OX ONCRETE - SMALL LARGE <br />AA3111110`fZ <br />�! �I <br />_ QQ ON <br />GATE INSTALLED: Io -6 � U I I p I, OFF SUB TOTAL <br />CODE LABOR AND EOUIPMENI RENTAL HOURS RATE <br />- C• 3 Saµ ke 1_ <br />—I -� 9 3 - <br />- - --- 35o 5 3 <br />TOTAL <br />REMARKS: _ <br />a <br />