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�T?RT�a <br />No. r7�LL[� f <br />FIXED � <br />DEPOSITS 4/0 <br />SERVICE /BY <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />M , <br />„rtyl /I, Ic r�r -✓ <br />INSTALL�CMETERED SERVI <br />I HEREBY APPLY FOR THESE-Or-V*IT <br />ORDINANCES AND POLICIES OF THE WATE <br />OR AS SAME MAY BE HEREAFTER C.IANGE <br />CONTRACTOR�1/•�SL� <br />SERVICE <br />ORDER 0- 5440 <br />DATE 19— <br />H THE <br />ISTING <br />SIGNED: <br />MATERIALS <br />is IN. <br />IIN. 12IN. <br />I <br />PRICE <br />AMOUNT <br />PIPE _ COPPER -- GALV. •- STEEL <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX PLASTIC -• C I <br />METER VALVE <br />I <br />_ <br />METER No. IS TYPE: Prec.IS/� 'i---- <br />METER BOX CONCRETE SMALL LARGE <br />-- <br />— <br />L 3 <br />I <br />_ <br />I <br />_ <br />_ <br />I <br />DATE 114STALLED: / — L- 7 <br />lG <br />ON <br />OFF <br />SUB TOTAL <br />CODE LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />TOTAL <br />REMARKS: <br />