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/•�� 1 SERVICE O 329 <br />APPL ' j�I/ ` APPLICATION FOR. SERVICE oRD N <br />No. CITY OF EVERETT WATER DEPT. <br />Q`/ qq <br />/ I/oGJ CAT <br />n F XED W. O, <br />No — <br />DEPOSIT S {n�,� ,;L<rp o'Ji- •V �C. lvE{/J�J- ��A�Z <br />�_ FL / —LOT ADD <br />71 <br />SERVICE tow DRES 2 / -=t =� <br />-CONTRAC <br />OWNER ;d'O. N..o <br />INSTALLMETERED SERVICE <br />I HEREBY FOR THETHE <br />ORDINANCESAPPLY <br />AND POLICES OFETHE WATER DEPARTMENT NOWOF WATER IN ACCORDANCEWITH E%STING <br />OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED: X_l <br />IIN. 2IN. PRICE AMOUNT <br />MATERIALS I ��� ,•//�3� PIPE COPPER -- OALV. -- STEEL <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX PLASTIC -• = 1 � J <br />METER VALVE / 33 <br />i - -s•. TYPE: ,. &4J M E7ER No,Cf�Bri Z-1 <br />METER BOX. CCONCRETE _SMAL LARGE <br />I ON SUB TOTAL <br />DATE INSTALLED:/2 _�� ULOFFGk <br />IIOU OR I RATE <br />LABOR AND EQUIPMENT RENTAL <br />CODE i-' �) <br />TOTAL g/ J� <br />REMARKS: <br />;m <br />