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op <br /> ,•I <br /> 2SERVICE <br /> APPM� CITY OF EVERETT ORDER No. 3 0 G G <br /> APPLICATION FOR WATER SERVICE A" <br /> DATE <br /> o FIXED q/ 4v/ NOO-- <br /> C] DEPOSITS �/ ` --- <br /> 13 D- Gfv • ! LK._ LOT AOD. <br /> SERVICE ADDRun1Q--7y <br /> isi.fir�]d K-[i CONTRACTOR <br /> OWNE .�� <br /> INSTAL TERED ERVIC 1 <br /> 1 HEREBY APPLY FO WATER IN ACCORDANCE WITH THE ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING SIQN ED:% <br /> OR .'.S SAME MA -HEREAFTER CHANGED. PRICE AMOUNT <br /> MATERIALS lV IN. 1 IN. E IN. <br /> PIPE COPPER•- GALV.-STEEL <br /> CORPO -- <br /> CURB COCK OT —I — <br /> SERVICE BOX p PLASTIC -- C I <br /> METER VALVE <br /> METER No. --- <br /> METER BOX C RETE .S}AA LARGE <br /> 44 4�tej <br /> `n ON <br /> ^7 T SUB TO iAL <br /> DATE INSTALLED: ��` O OFF <br /> HOURS RATE <br /> LABOR AND EQUIPMENT RENTAL <br /> CODE <br /> Jj <br /> 2 r - <br /> TOTAL <br /> REMARKS: <br />