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APPL. 71/D- 9-�lot�- <br />.40. �J� CITY OF EVERETT SERVICE FIXED No <br />APPLICATION FOR WATER SERVICE ORDER <br />E/ _ 7 (� •'' I A' DATE_ �r -��pi —10� <br />Ej DEP051T. <br />W.O. <br />6 ND. <br />SERVICE Illy Appq OSl - L) U L, L �2� ✓� �l�n <br />2Y �l SLK.. L[`T ADD. <br />OWNE 1/' � -- <br />/� FL --CONTRACTOR <br />INSTALL._ METERED SERVICE_ "- <br />1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR IN SAME MAYPOLICIES <br />HEREAFTER CHANGED <br />SIGNED X <br />MATEgI L/ <br />KIN I IN. I IN. <br />I <br />PIPE COPPER -- PRICE AMOUNT <br />GALV. -_ STEEL <br />CORPORATION <br />CURB COCK <br />SERVICE BOX <br />METER VALVE <br />METER No. <br />METER BOX <br />DATE INSTALLED: <br />CODE <br />REMARKS: <br />OT <br />PLASTIC •- C 1 <br />TYPE: <br />CONCRETE SMALL <br />LARGE <br />u <br />ON <br />OFF <br />L. AIIe SAND COUIPM ENf RENTAL <br />IION C0E,1 - <br />n r g �+ UI ;x rt1 rtl m g O <br />SUB TOTAL <br />HOURS I RATE <br />