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Z <br /> APPL a3jA CITY Or EVERETT SERVICE •� 797 <br /> NO. � ORDER NO. 77 Op �� <br /> APPLICATION FOR WATER SERVICE <br /> ❑ FIXED Q7 <br /> E] DEPOSIT S N O . <br /> SERVICE --- - u) O —1, BLK..___. .LOT./ <br /> OWNS -I�C %E CONTRACTOR_ <br /> INSTALL 3i�L-METERED 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 CHANTED. RIMED: %�Zv7ap-lnel� <br /> MATERIALS 5i IN.I 1 IN. IN. I PRICE AMOUNT <br /> PIPE COPPER•• GALV. •-STEEL <br /> CORPORATION <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC •• C I I - <br /> METER VALVE _ <br /> ME}ER No. TYPE: I K _— ------ _ <br /> METER BOX CONCRETE SMALL LARGE _ <br /> ON <br /> DATE. INSTALLED: � — � � � I I] OFF SUB TOTAL <br /> CODE LABOR AND EQUIPMENT RENTAL HOURS RATE <br /> I 11 <br /> --i ---- - <br /> -�- <br /> TOTAL <br /> REMARKS: ---- - <br />