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L• v` �� APPLIL.ATION FOR SERVICE SERVICE N"_ 2014 <br /> � CITY OF EVERETT WATER DEPT. ORDER <br /> FIXED (_ DATE <br /> DEPOSITS/ 7s , c)o W. O. <br /> SERVICE(1 ADDDRE, �.`ESE)( J4 • ��3 U -5 ,.1'•J� BL•K.—_ LOT._`£'_AD `'�� • �• <br /> OWNERJ� Q%P/ �7,ayn CONTRACTOR _ <br /> INSTALL_(_:PMEMTERED SERVICE <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE (( <br /> IES <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR IN SAME MAY O HEREAFTER CHANCED. SIGNED: X. <br /> MATERIALS IN.I 1 IN.I E IN. I PRICE AMOUNT <br /> PIPE COPPER-GALV.-STEEL <br /> CORPORATION <br /> CURB COCK _OT <br /> SERVICE BOX PLASTIC - C 1 <br /> METER VALVE <br /> METER No. TYPE: �•i I <br /> METER BOX CONCRETE _ MALL- LARGE <br /> ff S&� P� _ <br /> ON <br /> DATE INSTALLED: ` 0 OFF UB TOTAL <br /> CODE LABOR AND EQUIPMENT RENTAL HOURS RATE <br /> I <br /> I TOTAL <br /> REMARKS: <br />