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APPSP�1.� <br /> No. `" 000--- CITY OF EVERETT SERVICE <br /> APPLICATION FOR WATER SERVICE ORDER NO. ,, 59 6 <br /> FIXED QC, DATE <br /> DEPOSIT III <br /> =--�-� <br /> W.O, <br /> NO. <br /> SERVICE tKT AD RU) <br /> [ 797" •� r�7� <br /> OWNl � J <br /> CONTRACTOR <br /> INSTAL <br /> 1 HEREBY APPLY FOR E-ULE-pF-WATEk IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. <br /> emNED: X. <br /> MAT ERIALB Y� IN. 1 IN. 1 IN. <br /> PIPE P ICK AMOUNT <br /> COPPER••GALV.-STEEL <br /> CORPORATION <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC - C I <br /> METER VALVE <br /> METER No. TYPE: <br /> METER BOX CONCRETE SMALL LARGE <br /> DATE INSTALLED: / ONv'JU` U I OFF SUB TOTAL <br /> COD[ LAKOR AND EOUIPMEN!RENTAL <br /> HOUR- RATE <br /> REMARKS: TOTAL <br />