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NOPL CITY OF EVERETT SERVICE /I <br /> �L ,5707 APPLICATION FOR WATER SERVICE ORDER N0. 4 t13 9 <br /> -� FIXED p Iv— <br /> Oa <br /> DF_POSIT S.SOO W.0. <br /> SERVICE IBV ADDRESS) J BLK._ LOT_7—ADD. <br /> OWN6 _ —CONTRACTOR <br /> INSTAL ETERED SERVIC <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. SIaN[D:X <br /> _ MATERIALS IN.I 1 IN.I N. III Rict AMOUNT <br /> PIPE COPPER--GALV.-STEEL -I} <br /> CORPOR <br /> CURB COCK OT l - <br /> fQRVICEBOX PLASTIC -• CI —I <br /> METER VALVE�/�..� <br /> vv � <br /> METER No. <br /> METER BOX CONCH AL LARGE 1 <br /> So73 _L�Vr7r�' I _ _ <br /> 6. ti3 - 7.c(f <br /> LJ/'N <br /> DATE INSTALLED: C] OFF SUB TOTAL C7 <br /> CODE LABOR AND EOUIRMENt RENTAL HOURS RATE f <br /> I <br /> ''T7 <br /> TOTAL <br /> REMARKS: <br />