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i <br /> i <br /> No L. o27�Lr�� CITY OF EVERETT SERVICE <br /> 1V° 6335 <br /> APPLICATION FOR WATER SERVICE <br /> FIXED , OATS /r`n <br /> -1.�IS� <br /> /❑ DEPOSIT S_ W.NO O. <br /> BERVIC6 ISY A DR[BSI '_`� �� w BLK._ LOT ADD. - <br /> OWNER �slr� CONTRACTOR <br /> 3LLII LAT <br /> INSTAL ED SERVICE --. <br /> 1 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. SIGNED: % <br /> MATERIALS M IN. 1 IN. E IN. I PRICE AMOUNT <br /> PIPE-0)4040 o 7- COPPER--GALV.-- STEEL_ <br /> CORPORATION �oRPn3QB �I _ <br /> CURB COCK OT ( u�/"7✓ �Q ]� � I �_ <br /> SERVICE BOX PLASTIC -- C 1 I <br /> METER VALVE <br /> METER No. TYPE--_--.._I <br /> METER BOX CONCRETE SMALL LARGE <br /> �p I <br /> I <br /> I I <br /> ON //// <br /> DATE INSTALLED: "�8^� OFF l.,• UB TOTAL <br /> CODE LAEOR AND EQUIPMENT RENTAL HOURS RATE <br /> TOTAL <br /> REMARKS: <br />