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lk <br />i <br />No. V <br />FIXED <br />DEPOSITS <br />SERVICE ley <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />OWNER ✓�1_4 I /y,-a4 CONTRACTOR <br />/ ii FLAT­---^�' INSTAL METERED SERVICE <br />I HEREBY APPLY FOR T SE-01rWATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. SION�.B <br />SERVICE <br />ORDER NO. .- <br />DATE <br />W. O, <br />No. — <br />- <br />MATERIALS <br />'A IN. <br />IN. 2 IN. <br />PRIC <br />AMOUNT <br />PIPE('( J <br />COPPER •• GALV. - STEEL <br />Y(S <br />i <br />CORPORATION <br />—I(— <br />CURB COCK OT <br />_ <br />SERVICE BOX <br />PLASTIC •- CC I <br />_ <br />METER VALVE <br />"• <br />METER No. (�_ -iv <br />) <br />`o kvyo"1 <br />FBI <br />_ <br />METER BOX CONCRET • -� <br />LARGE <br />DATE INSTALLED. <br />F1 ON <br />❑ ppp SUB TOTAL <br />CODE <br />LABOR AND EQUIPMENT RENTAL HOURS <br />RATE <br />I <br />I <br />TOTAL <br />REMARKS: <br />