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APPL. n ^��O <br />No, L� CITY OF EVERETT <br />APPLICATICN FOR WATER SERVICE <br />�iR XED � � (�i p-[fl/ <br />❑ oErosiT s <br />D� i0 POSTI�G__�+-zS� Q�� r <br />SERVICE (�v <br />"'^"' `�' � CON7RACTOR. <br />3 FL <br />INSTAL TERED RVICE __. <br />I NEREBY APPLY FO 71E lISE OF WA7ER IN ACCORDANCE WITN TNE <br />ORDINANCES AND POLICIES OF TME WATER OEPAfl7MENT NOW EXIS7ING <br />OR AS SAME MAY BE HEREAFTEfi CHANGEO, etcHep: _ <br />M6TERI�LS �/ IN.jI �f �N.' 21N. <br />P�PE COPPER •- GALV. -- STEEL I I <br />CORPORA710N <br />CURB GOCK OT � <br />SERVICE BOX PLAS7IC -- C I <br />METER VALVE � <br />__. ._ _ _. _.______ —_.�1� <br />_ ___ ___ <br />METER No. fiJ^ �! _.. ___T �--l��fY/ 'N�E_ I `4 <br />METER BOX CONCRETE SMALL LA,RGE <br />S�k���` N_ 7 7 7 7 <br />ORDER � <br />DATE_/__��� _�g_ <br />w. o. <br />No. <br />7(�! A D �� <br />.1.,_ C/ � <br />�. <br />PRICE �� AMOUNT <br />� � � � � � I <br />�[� ON <br />�ATE ,NSTALLE f}t����i��? /� I �� OFF SUB TOTAL <br />� �� <br />CODE � LABOq ANDlpUiPMENfRENT�L � XOURS RATE <br />�I___�f _. _-__—_ I — <br />I --_ '_____i — <br />—i -_ __ ___ <br />-- - ---- _-- — N�-�TION I <br />—I -- -- _ _— ---Wi�!—be—faken nn servide __ --- <br />— ___ _a.p lications without ai <br />I Backflow Prev�Onsu��stian— <br />TOTAL <br />REMARKS: <br />