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APPLL� � R� <br /> No. CITY OF EVERETT SERVICE <br /> APPLICATION FOR WATER SERVICE ORDER NO. <br /> FIXED O <br /> E3 DEPOSIT s a� <br /> 5----- W.O. <br /> SERVICE uv ADDR[10) �'� <br /> OWNER--,Z _—_ . .__L,�/J�— fi <br /> TRACTOR_ LOT <br /> INSTALLED SERVICE <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 /> ■IDNE���ICw��l,.�u� <br /> MAT[RIALB Y� IN. I IN. 2 IM. -- <br /> PIPE _ PRICE AMOUNT <br /> COPPER-• GALV.••STEEL I I <br /> CORPORATION --- ----- _~-I- _ <br /> CURB COCK OT – — — --- <br /> SERVICE BOX PLASTIC •- I-j --'--- --- <br /> r --1 <br /> METER VALVE — - - -- - --�-- <br /> METER No. . -L_ - <br /> TYPE: I � I - ----- <br /> METER <br /> ---METER BOX CONCRETE SMALL LARGE -- <br /> DATE INSTALLED / ) ON <br /> y / I Cl OFF SUB TOTAL <br /> CODE LABOR AND COUIPM[Nf RENTAL <br /> HOURS RAT[ <br /> REMARKS: r � TOTAL <br /> GSEoGxuri�v�_S�,,c„�= <br />