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APPL. S ,F G 3 CITY OF EVERETT SERVICE <br />No. ORDER NO. Al <br />APPLICATION FOR WATER SERVICE <br />FIXED � DATIW�ei� <br />❑ DEPOSIT <br />fSERVICE ISv A�S/L m <br />OWNER C JNTRACTOR <br />INSTALV TERED SERVICE <br />1 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.ii?-T/_"�_ <br />MATERIALS <br />M IN. <br />1 IN. <br />E IN. <br />PRICE <br />AMOUNT <br />PIPE <br />COPPER - GALV. - STEEL <br />CORPORATION <br />_ <br />CURB COCK OT <br />I <br />SERVICE BOX <br />PLASTIC - C I <br />I <br />METER VALVE <br />METER No. TYPE: _ H <br />METER BOX CONCRETE SMALL LARGE <br />-- <br />DATE INSTALLED: <br />ON <br />OFF <br />SUB TOTAL <br />CODE <br />LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />-44 <br />TOT�.L 11 <br />REMARKS. <br />-{ 'rt <br />N m <br />C O <br />I'm CD <br />--I C <br />O <br />m <br />o z <br />c <br />H <br />< -n <br />T <br />O <br />-1 <br />0 <br />