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/ 9 SERVICE <br />No. <br />No. b Vr ! CITY OF EVERETT ORDER NO. <br />APPLICATION FOR WATER SERVICE �y <br />Ei <br />FIXED O DATE—, <br />!�� <br />- f- <br />DEPOSIT s _0_ W. <br />ro_ <br />SERVICE (MY ADDRun _ -tom(--( BLK._P`�LOT�AD <br />OW --_CONTRACTOR <br />'t FLAT <br />INSTALL 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. BIGNED:X T <br />MATERIALS <br />16 IN. <br />I IN. 2 IN. <br />PRICE <br />AMOUNT <br />PIPE COPPER GALV. •• STEEL <br />CORPORATION <br />CURB COCK OT <br />— <br />SERVICE BOX PLASTIC - C I <br />METER VALVE <br />METER No. .� _ TYPE' <br />ER BOX AswcwETErI� ALL ARGE <br />aMAc- <br />- <br />.rl —/o—� I Io�ON <br />DATE INSTALLED: OFF SUB TOTAL <br />CODE LABOR AND EOUIPMENf RENTAL I <br />HRHOURS RATE <br />TOTAL <br />I <br />FEMARKS: <br />