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2 / -5 © APPLICATION FOR SERVICE <br />CITY OF EVERETT WATER DEPT. <br />FIXED <br />1 rJ y , <br />DEPC�7T y L C,fl�LJ _ <br />L BLK. 3 <br />SERVICE (BY ADDRESS) <br />CONTRACTOR_-- <br />OWNER�—,__V <br />LAT <br />TtHINSTALL— <br />ED SERVICE <br />ORDENANCES AND POR IC ES OFE <br />ETHE WATER Tilt <br />EP ARTMENT or WATER IN ACCORDANCE <br />STING .�,�[, yn <br />SIGNED: XIY <br />OR AS SAME MAY DE HEREAFTER CHANGED. IN (IN. IAIN. <br />MATERIALS J �0 <br />I PIPE COPPER -1 GALV. •- STEEL — <br />I PIPE <br />CORPORATION <br />Z —;i __ _ --I <br />CURB COCK_OT _ <br />SERVICE BOX <br />I PLASTIC -• 1 1� <br />L <br />METER VALVE <br />TYPE: <br />K <br />M TER No. <br />METER BOX _ CONCRETE <br />SMALL LARGE <br />DATE INSTALLED: A <br />I- <br />REMARKS: <br />ItAr CN <br />❑ OFF <br />LABOR AND EOUIPMENf R[NTAI. <br />2 <br />SERVICE ND 2282 <br />ORDER <br />DATE! --19 Y <br />W. O. <br />PRIDE II AMOUNT <br />SUB TOTAL <br />HOURS I RATE <br />