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APP Z f 11 <br />No. <br />FIXED Q� <br />/ DEPOSIT S// <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />SL <br />SERVICE (BY AOOR[E[ <br />A FLAT --< <br />INSTALL_.—EME7ERED BERVIM <br />1 HEREBY APPLY FOR THE USE OF WATER <br />ORDINANCES AND POLICIES OF THE WATER <br />nR Ae CAME MAY RC HEREAFTER [HANGED. <br />SIGNED: X <br />SERVICE •� (_` <br />ORDER NO. ll �7ry <br />DATE <br />W. O. <br />ADD <br />- <br />MATERIALS <br />is IN.1 <br />1 IN.I [ IN. I <br />PRIOR <br />I <br />AMOUNT <br />PIPE <br />COPPER - GALV. » STEEL <br />_ <br />CORPORATION <br />- <br />CURB COCK <br />OT <br />— <br />SERVICE BOX PLASTIC -• C 1. -- <br />METER VALVE II___ <br />METER NO. 4=a TYPE. ADZx3_! N <br />� <br />— <br />ETER BO CONCRETE [1�71L •SMALL LARGE <br />Gr <br />/"A�IE�'E!� 6LL oT iuTrw_77Y�— <br />I <br />- <br />-I <br />I <br />DATE INSTALLED: 3 _ 3 �_ [� <br />InyONI <br />I ''� OFF SUB TOTAL <br />COO[ I <br />LABOUR AND EOUIPMEN 1 RENTAL. I HOURS <br />RATE <br />TOTAL <br />