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NoPL. C�! �+�DO CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />�� �FiXED � <br />`�y DEPOSIT c / .� / / '�_ <br />�;� �'l, =lff-«_ <br />SERVICEcevwoo s� �OD\�� / � L-f-��1�LK._. <br />i <br />OWNE � J . �—"'��ONTRACTOR_ <br />INSTALL v' � METERE� SERVICE_— <br />i HErTEBY APPLY FOR THE I1SE OF WATER IN ACCORDANCE WITH THE <br />OROINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING <br />OR AS SAME MAY BE HEflEAF�ER CHANGED. aIGNEo:X._i <br />MATERIALS � �H �I � �� <br />PIPE COPPER -- GALV. -- STEEL <br />CORPORATION <br />CURB COCK <br />SF.RVIGE BOX <br />METER VALVE <br />METER No. <br />METER BOX <br />OT <br />PLASTIC -- C I <br />CONCRETE <br />DATE INSTALLED: <br />CODE I <br />REMARKS: <br />TYFE: � `t <br />SMALL LARGE <br />ON <br />�7'� OFF <br />j �— <br />LABOq AND EOUIPMEN�f HENTAL <br />SERVICE <br />ORDER ��o c � � <br />OATE�/L�(L-1 B.� <br />W. O. <br />SUB TOTAL <br />HOL1R5 � RATE <br />TOTAL <br />�� ' <br />AMOUNT <br />