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NAp o. <br />f z1 <br />FIXED <br />- �1 <br />L DEPOSIT ea$ I/ �, <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />SERVICE (BY ADDRESSI__J�t u <br />��JJ / I• <br />OWNER /r/ _ <br />/f F <br />INSTAI. I !ET ERED SERVICE_ _ <br />I HEREBY APPLY FOR THE US 'PATER IN ACCORDANCE WIT <br />SRDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EX <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />H THE <br />ISTING <br />SERVICE <br />ORDER NO. DATE 4_01�-Z/ 19 v Q <br />/ <br />W. O. <br />-BLK._ LOT ---A <br />MATERIALS <br />ii IN. I IN. 2 IN. <br />I PRICE <br />AMOUNT <br />PIPE <br />CORPORATION <br />_ _COPPER -_ GALV. -_COPPER -_ GALV. -- STEEL <br />_CURB COCK OT <br />.SERVICE BOX PLASTIC -- C I <br />METER VAL.Z <br />-_— <br />- <br />METER ND. (p. y L•� TYPE: <br />I yf <br />-- <br />---- <br />METER dOX <br />CONCRETE SMALL LARGE <br />I <br />i <br />AII L <br />DATEINSTALLED: F7 ���� ; I <br />Y <br />ON <br />OFF <br />SUB TOTAL <br />CODE <br />LABOR AND EOUIPMENf RENTAL <br />HOURS <br />RATE <br />I <br />- <br />- <br />TOTAL <br />