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No. c9 /0 <br />FIXED <br />XDEPOSIT S�j-�t�' <br />(+ SERVICE ISY AS*R[SSI- <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />SERVICE <br />ORDER NO C J + <br />DATE-_�a _ _I1 <br />W. O. <br />No._____ <br />INSTALL / �-METERED SERVICE_-- ---- -- <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE O <br />_ <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING /d 7 �� <br />OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED:X .S�[" Y2 <br />MATERIALS <br />IG IN. <br />I 1 IN. I E IN. <br />I <br />PRICE <br />AMOUNT <br />I E <br />CORPORATION <br />CURB COCK <br />COPPER - OALV. - STEEL <br />OT <br />I <br />_ <br />_ <br />SERVICE BOX <br />PLASTIC •• C I <br />METER VALVE <br />METER NO. TYPE: <br />METER BOX CONCRETE SMALL LARGE <br />DATE INSTALLED: 11L'� <br />! <br />CN <br />I 1� OFF <br />SUB TOTAL <br />CODE <br />LABOR AND EOUIPMENI RENTAL <br />HOURS <br />RATE <br />pp <br />TOTAL <br />RP.MARKS: <br />