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No // CITY OF EVERETT SERVICE <br />ORDER NO. <br />APPLICATION FOR WATER SERVICEo <br />DAT6y!Of •_ 3� 1 <br />FIXED 6 <br />DEPOSIT $4�,o � No. — <br />SERVICE (my DDR ee)�J-{II AjI-�Jy � 0LK.. LOT_I <br />OWNS _ 1� GYM _-- _ — —CONTRACTOR_ <br />INSTALL'.� 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 SIGNED: X <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />MATERIALS PRICE AMOUNT <br />W IN. 11 IN. i 1 1 <br />PIPE _ COPPER -- GALV. ..STEEL <br />CORPORATION <br />CURB COCK <br />SERVICE BOX <br />METER VALVE <br />METER NO. <br />METER BOX <br />OT <br />PLASTIC C I <br />CONCRETE <br />TYPE.: <br />SMALL LARGF <br />ON <br />DATE INSTALLED: Z Z L % % 1E] OFF <br />�.,. LABOR AND EOUIPMENf RENTAL <br />REMARKS: <br />SUB TOTAL <br />NOUN- RATE <br />I <br />I <br />