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� <br /> � �O�J� � , �, i� �_ � �:,_ I <br /> APPL. SERVICE - - <br /> No. '� CITY OF EVERETT ORDER N° 6412 I <br /> APPUCATION FOR WATER SERVICE � � <br /> � F�XED DATE_ _�9�Z I <br /> � DEPOSIT � N O� � <br /> � <br /> SERVICE 1er DOqEA�). �R � BLK._ LOT � / ADD. � <br /> OWNE CONTRAC70R __ <br /> N FLA <br /> INSTAL� D SERVIGE— _ i <br /> I HEREBY APPLY FOfi 7HE I15E OF WATER IN ACCORDANCE WITH THE —� . <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. eiGNEo: X __ y.____ <br /> MATERIALB Si1N. tIN. � 21N I PRICE AMOUNT <br /> PIPE COPPER•- GALV.-- STEEI_ f_I— <br /> CORPORP.TION � I I <br /> CURB COCK OT � I � <br /> SERVICE BOX PLASTIC -- C I I <br /> METER VALVE <br /> METER No. TYPE: I SS <br /> METER BOX CONCRETE SMALL LARGE � <br /> - _— — .— I —L�.�_ ��� <br /> I I <br /> —i —�— I <br /> —_I _ � <br /> I I I I <br /> � ON I <br /> DATE INSTALLED: � OFF SUB TOTAL � <br /> CO�E I LABOP ANO EOUIPMENfRENTAL HOURS RATE <br /> �I I <br /> I <br /> I _ -_ _ �_— __— <br /> I ______"__ I _ <br /> I I <br /> I � <br /> TOTAL <br /> REMARKS: <br /> fI9 <br /> � <br /> Y� <br /> b. <br />