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CITY OF EVERETT <br />SER <br />N° <br />6767 <br />NO. otaolr <br />No. <br />APPLICATION FOR WATER SERVICE <br />0ROEIRE <br />oArE—Y' � <br />ya <br />Ir/ FI%ED <br />V IA—IG_Y� <br />—IB <br />W❑L DEPOSIT; % � <br />TO POSTN,._lo-a <br />°. <br />—yDR <br />—.--_----__— <br />SERVICE (BY ADDRESS) <br />A.7_ � BLK..—LOT-- <br />AD-D. -.--_ <br />OWNER <br />CONTRACTOR_ <br />._-- --. <br />q <br />LO <br />A_ <br />INSTALL SERVIC <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />MATERIALS <br />K IN. <br />1 IN. BIN. <br />\ j <br />VRIC[ <br />AMOUNT <br />�J <br />PIPE 4(S K �I1'! 7 7 _ COPPER •. GALV. - STEED??l <br />_ <br />CORPORATION <br />CURS COCK OT <br />SERVICE BOX PLASTIC - C 1 <br />METER V�1i <br />TYPE: <br />METER BOXO CONCRETE/0 SMAL LARGE <br />I <br />I <br />_ <br />I <br />ON <br />�l <br />DATE INSTALLED: �'�t%7i <br />I OFF SUB TOTAL <br />OD I LABOR NO EOU IPM EN I RENTAL HOURS <br />RATE <br />TOTAL <br />