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APPa2. Z-j 9 CITY OF E-VERETT SERVICE G 9(1 7 <br /> No. ORDER NEI. 3 5 J 1 <br /> APPLICATION FOR WATER SERVICE <br /> ❑ FIXED JalQ DATE • L-19 <br /> DEPOSITS j Q No O <br /> SERVICE IBY Deng 7.7 ze <br /> OWNE �.G< < ---CONTRACTOR <br /> a ' <br /> INSTALL—_METERED SERVIC <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. SIGNED: X_ <br /> MATERIALS IlAIN.I 1 IN. i N. I PRICE AMOUNT <br /> PIPE COPPER•-GALV.-STEEL <br /> CORPORATION _ <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC -- C I <br /> METER VALVE — <br /> METER No. TYPE. I H _ <br /> METER BOX CONCRETE SMALL LARGE <br /> I _ <br /> ON <br /> DATE INSTALLED: `i Gig I El OFF <br /> SUB TOTAL. <br /> CODE LABOR AND EQUIPMENT RENTAL HOURS RATE <br /> I <br /> TOTAL <br /> REMARKS: <br />