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NOPL. g-1/ 1! ID <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />0 FIXED <br />0 DEPOSIT s //! I� l a-5 <br />SERVICE (BY A131:0•MBB) -Or) / /9M! ' <br />fOWNER / / ! [�i7 ��r�" C1 <br />rt <br />INSTAL <br />ETERS SERVIC <br />SERVICE <br />ORDER <br />`281909& <br />DATE <br />W. O. <br />No. <br />BLK._ LOT_ __ADD <br />CONTRACTOR L <br />1 HEREBY APPLY FOR THE Z]SE OF WA -TER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />MATERIALS <br />3/+ IN. <br />1 IN. ' 2 IN. <br />I <br />PRICE <br />AMOUNT <br />PIPE COPPER-- GALV.-- STEEL. <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX PLASTIC -- C I <br />METER VALVE <br />METER No. F / 9 TYPE: J e[/S/t,01 VI <br />METER BOX CONCRETE SMALL LARGE <br />CATE INSTALLED:// -� /- & <br />ON <br />I OFF SUB TOTAL <br />CODE LABOR AND EQUIPMEN I' RENTAL I HOURS <br />RATE <br />k <br />d et/a"7.7/6 <br />r <> ,?, c.�e.:4-) I <br />I <br />P <br />TOTAL <br />REMARKS: <br />