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NQ� / ,'�3 <br />[B-FIXED 1� <br />DEPOSIT s 2 aS• <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />SERVICE (BY ADDRESS) nun <br />OWNERP'"49� CuL!, r-mot l4c:�I UBCS COATRACTO <br />c'LA� <br />INSTALL,��--Q�1pf�TERED�SERVICE— ----- <br />I HEREBY APPLY FOR TRF-DSE OF WATER IN ACCORDANCE WITH THE .� <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />no At cwc MAY RP MCRi APTFR [HANGED. SIGNED: X. <br />SERVICE •1 ^ (� <br />ORDER NO. <br />DATE- —1960 <br />W.O. <br />No. <br />aN 5'O' Or LLJ MILY <br />S. <br />MATERIALS <br />'Aim. <br />IN. <br />N. <br />PRICE <br />AMOUNT <br />PIPE <br />COPPER - GALV. -STEEL <br />CORPORATION <br />- <br />CURB COCK <br />♦ <br />__ <br />SERVICE BOX <br />STIC .. C I <br />METER VALVE <br />METER No. T PE: I 5f <br />METER BOX CONCRETE SMALL L GE <br />DATE INSTALLED: <br />ON <br />OFF <br />SUB TOTAL <br />CODE <br />LABOR ANO EQUIPMENT RENTAL <br />HOURS <br />RATE <br />TOTAL <br />REMARKS: <br />