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NO o <br />PIXEC O <br />c� <br />� DEPOtiIT S �i <br />SERVICE <br />ORDER NO. <br />DATE <br />W. O. <br />0. <br />SERVICE//•1I7T1-�AD�DRESS)J7�.—/.'3'��7. <br />OWNER_L.L"d']LGa�ta 4� _ -_CONTRACTOR <br />CITY OF EVERETT <br />APPLI-ATIOP' FOR WATLR SERVICE <br />INBTALL;4c_ .—METERED SERVICE____. <br />1 HEREBAPPLY FOR THE USE OF WATER IN ACCORDANCE W THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY RE HEREAfiER CHANGED na�Im: % <br />MATERIALS <br />14 1N. <br />I 1 ;N. I 1 IN. <br />PRICE <br />AMOUNT <br />PIPE <br />• GALV._ STEEL <br />= <br />—Ij— <br />.COPPER <br />CORPORATION <br />CURB COCK <br />OT <br />— <br />SERVICE BOX PLASTIC •• C I <br />METER VALVE <br />-- <br />METER No. TYPE: I �f <br />METER BOX CONCRETE SMALL LARGE <br />DATE INSTALLED: O.•�i-7 <br />/ <br />ON <br />I OFF <br />f SUB TOTAL <br />CODE <br />LABOR AND [OUIPMEW RENTAL <br />HOUR <br />RATE <br />- <br />VG1/-a� <br />Al- <br />TOTAL <br />REMARKS: <br />