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APPL,,; � . / i <br />No. eeeeee++++������ f� <br />FIXED <br />DEPOSIT 8,�.3-!5;'�I <br />SERVICE IBy^DDRUBJ�� <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />vnnER_[7L��,fG�p •7L,a.� CONTRACTC <br />22 <br />INSITALL METERED 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 />BF'RVICE <br />ORDER NO. .•�; <br />OATK <br />W6.O. <br />_LOT A&1--/�/T_� ` <br />O 4i;__ S <br />_ wlaNlwu <br />% IN. <br />I IN. t IN. <br />I_ <br />PRICE <br />AMOU <br />PIPE __- COPPER — GAIV. --STEEL <br />RATIO <br />(CURB COCK OT <br />SERVICE BOX PLASTIC •• C I <br />METER VALVE _ <br />, <br />' <br />METER No. TYPE:_._—_ <br />METER BOX CONCRETE SMALL LARGE <br />GATE INSTALLED. Z <br />�r-. <br />-ON <br />I I-1 OFF <br />SUB TOTAL <br />CODE <br />LABOR AND EGUIPMENt RENTAL <br />NOUR% <br />RA'E <br />TOTAL <br />REMARKS: <br />