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jp0 _ //q <br /> APPL. �/�/_S(� CITY OF EVERETT E N° 748 J <br /> No. a(L / <br /> APPLICATION FOR WATeORDER R SERVICE ,,r/. �]� <br /> E] FIXED DATE_A9__Z __—ISZL. <br /> DEPOSITSf POSTING, Jtt 9t N O-- <br /> SERVICE (BY ADDRESS) ^Z �O sBLK.- .LOT--ADD. <br /> OWNER S*4/nLo CONTRACTOR <br /> 8" ( <br /> INSTALL METERED RVIC E_. . <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE 1 <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY 8E HEREAFTER CHANGED SIGNED: % <br /> MATERIALS III IN. 1 IN. 3 IN. 1 IT PRICE AMOUNT <br /> PIPE _ COPPER•• GALV.-•STEEL_ <br /> CORPORATION <br /> CURB COCK OT <br /> SERVICE BCS PLASTIC •• CI <br /> METER VALVE <br /> METER No. �' - -_TYPE: <br /> METER BOX CONCRETE _ -SMALL LARGE <br /> I I <br /> ON <br /> DATE INSTALLED: /�, �) /� Q", I !OFF SUB TOTAL <br /> CODE OS ( LLA80M AND EGUIIPMENf RENTAL HOURS RATE <br /> TTp <br /> ell on <br /> TOTAL <br /> REMARKS: <br />