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CITY OF.EVERETT ORDEIRE NO. <br /> k APPLICATION FOR WATER SERVICE <br /> DATE.�'�*-t-yCr-2�I OT <br /> FIXED 1, / <br /> W.O. <br /> DEPOSIT S S / /'/ No.- <br /> SERVICE lar DD E/ �43 _BLK.- <br /> ---LOT--,- <br /> OWNER <br /> -_LOT_._OWNER CONTRACTOR_. _.-_—-_A—DD.__ <br /> _ _— <br /> 40/ <br /> INSTAL <br /> _METERED SERVIC ------- <br /> I HEREBY APPLY FOR ER IN ACCORDANCE WITH THE <br /> ORDINANCES <br /> SAME MAY BE HEREAFTER CHANGED.( DEPARTMENi NOW EXISTING <br /> ORASIGNED: X�.{.� <br /> MATERIALS K IN. 1 IN.I I IN. I PRICE AMOUNT <br /> PIf <br /> PIPE COPPER 1-GALV.•-STEEL _ I <br /> CORPORATION -- <br /> CURB COCK O•F --I -- <br /> SERVICE BOX PLASTIC •- C I - --• <br /> METER VALVE <br /> METER ND. t^ -1 — _TYPE: -- <br /> __-rte..__(_---_ <br /> METER BOX CONCRETE, ,",'f( SMALL, LARGE <br /> I - <br /> /A' / <br /> ON <br /> DATE INSTALLED: J— - <br /> OFF SUB TOTAL <br /> CODE LABOR AND E9UIPMENf RENTAL <br /> HOURS RATE <br /> TOTAL <br /> 1 4 <br /> REMARKS: - ��- ----- - -- <br />