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APPL. CITY OF EVERETT SRHVICL^1p 78 � Q <br /> No. I V <br /> 2 /� APPLICATION FOR WATER SERVICE ORDER <br /> Flxeo <br /> Dn7 E_��:1-7•L___t o— <br /> DEPODIT s_&1?5— TO POSTING_L-z�_ <br /> SERVICE IEr DDREUI/_ 7L�� ' � �1 BLK.. LOTS./AD4w" <br /> OWNER—I'.LIll:tz -LLdLII� _CONTRACTOR _ <br /> F <br /> INSTALL_`3� RVICE—_ <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 HERFAFTER CHANGED. •ZONED: - _—..--_—.___ .___ <br /> MATER I ALE li IN. I IN. 1 N. I PRICE AMOUNT <br /> PIPE COPPER-• GALV. -•STEEL_ - <br /> CORPORATION <br /> CURB COCK OT __ I <br /> SERVICE BOX PLASTIC •• C I <br /> METER VALVE_ ,I,y''�_ <br /> METER No._���S�Q TYPE' C/'Ii4t ( <br /> METER BOK CONCRETE SMALL LARGE <br /> ON <br /> DATE INSTALLED:/L OFF SUB TOTAL <br /> CODE LABOR AND EOUIPMENf RENTAL HOURS RATE <br /> ACT10N- <br /> -- -1Ntp-be-taxerrm-sw-li=r--- <br /> _� — -- -- - appkatione-without-a- I - - ---- — <br /> Backflow Prevention Consultatiat <br /> TOTAL <br /> REMARKS:__ __ <br />