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APPL.10/14 <br />No. r � <br />FIXED <br />DEPOSIT s <br />CITY OF EVERETT <br />APPLICATION FOR VJATER SERVICE <br />SERVICE (SY ADDRESS) <br />OWNER— <br />1NSTALI METERED SERVICE J <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. <br />SERVICE <br />OPDER <br />N �f,?81 <br />f 19. <br />DATE <br />W. O. <br />No. <br />BLK._ LOT__— ADD <br />CONTRACTOR <br />SIGNED: <br />MATERIALS <br />¥ 114. <br />1 IN. 2 IN. I <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 />___ <br />METER No. Sir/ 9 I' TYPE: Pea C4s7Q)(,)4f, <br />METER BOX CONCRETE SMALL LARGE <br />; <br />DATE INSTALLED: / - 3 / - r'j (;,� <br />,�-�Jr�N <br />I e OFF SUB TOTAL <br />CODE LABOR AND EQUIPMEN r RENTAL <br />I HOURS <br />RATE <br />C-c;*rP)4 r4—?:ee' <br />--4--- <br />I I <br />TOTAL <br />REMARKS: <br />