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r <br /> TIP RM <br /> Noplo� � G" CITY OF EVERETT ORDERS NO. 3310 <br /> APPLICATION FOR WATER SERVICE �jj <br /> � FIXED DAT -/T 10� <br /> ❑ DEPOSIT S NOG• <br /> S�RVICIt Iev R Irl l� • _SLK.- LOT , A —�s'� <br /> ��rf <br /> OWNEg. • f •1p CONTRACTOR <br /> INSTALL. L� ETERED 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 SIGNED:X --- <br /> MATERIAL!- %IN. IIN. SIN. 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 N <br /> METER BOX CONCRETE SMALL LARGE <br /> _ I <br /> ON <br /> DATE INSTALLED. � 'z � !•LI I OFF SUB TOTAL <br /> CODE LABOR AND EOUIPMENt RENTAL HOURS RATE <br /> e INR <br /> �rnEI <br /> I _ <br /> TOTAL <br /> REMARKS: <br />