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No. v` � CITY OF EVERETT SERVICE <br /> Z/, <br /> - I <br /> / APPLICATION FOR WATER SERVICE ORDER NO.. <br /> C] FIXEL, <br /> C] DEPT • SOS- yyyy V. <br /> SERVICE Ier AoolluB BLK.. .LOT `DD..-- <br /> OWNER rJ_—_CONTRACTOR _ <br /> INSTAL TIERED 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 /> 0R AS SAME MAY BE HEREAFTER CHANGED. EIGNEo:X _ <br /> MATERIALS KIN. I IN. 1 I PRICE/ AMOUNT <br /> PIPE 1 COPPER--GALV.-STEEL <br /> 1 ORPORATIO <br /> CURB COCK OT <br /> -SERVICE SO i _ PLASTIC -• C ' <br /> METER VALVE — <br /> METER No. TYPE: —_� M - <br /> METER BOX CONCRETE SMALL LARGE ! <br /> ON — <br /> DATE INSTALLED: /�Z /� 7 OFF SUB TOTAL <br /> CODE I ♦ LABOR AND EOUIPMENI RENTAL NOURB RATE <br /> TOTAL <br /> REMARKS: <br />