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APPL. � � /�/ • SERVICE <br />No. (p . � CITY OF EVERETT ORDE�� �; ;� �;�� <br />APPLICATION FOR WATER S :RVICE <br />_. p( D P0917 �D�� �lJ J"- ��V I T—' W.OE _iG <br />�'t No. <br />SERVICE (�r �ooneesl�/`�!��' / — `��� _BLK._ LOT�ADO�'�a� v^1 <br />OWNER--�l�5_'i1��-J CONTRACTOR���_. <br />fAT <br />INSTAL�METERED SERVICE— <br />1 HEREBY APPI.Y FOP. THE USE OF WATER IN ACCORDANCE WITH iHE ' <br />ORDINANCES AND POLICIES OF 7HE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY 6E MEREAFtER CHANGED. eicHeo:X _ <br />MATERIFLS j�IN. 11N.I21N.I I � PRIGE AMOONT <br />P�PE COPPER •- GALV. •- STEEL I I I I I I�� <br />CORPORATION <br />CURB COCK <br />SERVICE BOX <br />METER VALVE <br />METER No. <br />METER BOX <br />OT <br />PLASTIC -- C 1 <br />—_._ _ .__._ -____-- <br />TYPE: I t{ I <br />CONCRETE SMALL LARG�_ <br />DATE INSTALIED: <br />CODE I <br />REMARKS: <br />I � ON <br />� OFF <br />LABOp AND EOUIPMENf RENT�L <br />SUB TOTAL <br />HOl�RS � pATE <br />TOTAL <br />