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A,PPL. --) p 763 CITY OF EVERETT <br />No. o APPLICATION FOR WATER SERVICE <br />Lj <br />❑ FIXED DEPOSITS <br />POSTiMrI 3--_ <br />❑ <br />SERVICE (BY ADDR986) <br />.- CONTRACTOR- <br />OWNER—(S(�--- <br />i� ry FLAT <br />INSTAL' r METTHE _ERED SERVICE.^--- <br />ACCORDANC <br />ITH THE <br />OpDINANCES AND POL POLICIES GFETNE WATER OF WATER DEPARTMENT NOW WEX STING SI7NED:X, <br />OR AS SAME MAY BE HEREAFTER CHANGED. -1G IN IIN z4 <br />MATERIALS <br />COPPER -- GALV. -- STEEL - <br />PIPE <br />CORPORATION <br />--�— <br />i <br />CURB COCK OT <br />SERVICE BOX PLASTIC -- G I__ <br />METER VALVE ____--------' <br />-- <br />�--- <br />TYPE: <br />METER NO. <br />METER BOX CONCRETE <br />SMALL LARGE -- -- <br />ON <br />, D <br />DATE INSTALLED: y.�l <br />4 I <br />C OFF <br />lC <br />LABOR AND EOM PME- <br />CODE <br />,,pN r,�flow Prevention <br />REMARKS: <br />ShRVIC <br />ORDER L N0- u 1 2 7 <br />DATI9 <br />W. O. <br />I PRICEJI AMOUNT <br />SUB TOTAL <br />HOURS { RATE <br />TOTAL <br />