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APPL. ASERVICE 1943 <br />No PPLICATION FOR SCRVICE � ORDER <br />CITY OF EVERETT WATER DEPT. ��- 9va <br />DATE 1 <br />FIXED <br />f <br />DEPOSIT S V ae✓ NO <br />.i <br />SERVICE (By ADDRESS) - �d 9 ` rmll! - --BLK LOT ! ADDS-'^ `{lam` .L-._ <br />OWNER. <br />__CONTRACTOR_ <br />FLAT <br />INSTALL_ THE <br />B WTER I______... <br />I HEREBY APPLY FOR THE USE HE ATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE vIA fER DEPARTMENT NOW E7lISTING <br />vn ..> >..m.. mom. .... .. �..�... <br />.�.. _. ....___. <br />MATERIA S <br />IN. <br />'APIPE <br />I IN. <br />E IN. <br />ICE <br />AMOUNT <br />COPPER - GALV. - STEEL <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX <br />PLASTIC •- C I <br />— <br />METER VALVE <br />METER No. <br />TYPE: N <br />METER BOX CONCRETE SMALL LARGE <br />i <br />DATE INSTALLED: <br />- <br />ON <br />I OFF. <br />_ SUB TOTAL <br />CODE I <br />LABOR AND EQUIPMENT R ENTAL <br />HOUR/Li <br />RATE <br />I <br />TOTAL <br />II <br />REMARKS: <br />