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CITY OF EVERETT 'I ` (Jo 77 � 8 <br /> APPLICATION FOR WA� SEflVICE/�� ROE"DAT[—A�3_I[— <br /> B..rx[D Tn PpSTING_L�=�� =JH/. <br /> DEPOSIT�� N6 <br /> yw0. p <br /> SERVICE u/TJQ/D�Ru[I—��I��,-,//y- —[LK..--LOTyL__ADO l� <br /> OWN[IL-- __CONTRACTOR_ _ <br /> FL- <br /> IN[EALI_ RVIC[_-- -----�_ <br /> I HEREBY APPLY FOR <br /> TrET-WAt[R IN ACCORDANCE WITH THE <br /> �� 1 <br /> ORDINANCES AND POIICI[S Cr THE W)T[R DEPARTMENT NOW EXISTING <br /> ON AS SAME MAY R M[MTATT[R CHANGED uGNtD: IaL_ LU-LIJ�_� <br /> MATERIALS ".I 1 I .I• Roth AMOUNT <br /> PIPE COPPER-OALV.-STEEL— <br /> CORPORATION <br /> CURB COCK or <br /> S[RVIC[ Box PLASTIC -- C I —I — <br /> METER VALVE <br /> METER ND. Z/� ._ __.TT►[�1/f�ON"K` I� I t <br /> METER box CONCRETE SMALL LARGE <br /> N <br /> I <br /> O <br /> DATE INSTALLED:,i(.'/_ ��/�9� �J� � pPP SUB TOTAL <br /> TODE 7ZY G{L� <br /> LABOR AND RQU1PMENI N[NGL nou RT R119 <br /> - -J3Q92� <br /> __WW-C.–UMM� <br /> apM�ufions _ <br /> -- ------ - Uackc m—P,ow�ntion Consult ,Ion <br /> �J TOTAL <br /> I-1— <br /> REMARKS--)4 <br />