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APPL. SLNVICE <br /> CITY OF EVERETT ORDER N° 7713 <br /> APPLICATION FOR WATER SERVICE // '7 Q <br /> REPO Tn PnSTING cD2t- A?7�% <br /> DEPOSIT B F c..�•� - /^1,/// / /W'1.0. �L�LJ���-/�/1/,����r <br /> SERVICE uv DOnU�6C�Z__ BLK.. LOT-ADgY(lLC(lGt.rlLLl4Ll� <br /> OWNER - /41)I L. IG CONTRACTOR_ <br /> �/ FL <br /> INSTALL TERED ERVICE__-_ <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. •IGNED:JC __ -____._ __ _ __ _ _ ___ __ <br /> MATERIALS YI IN.I 1 IN. 31N. PRICE AMOUNT <br /> PIPE COPPER•• GALV.-•STEEL <br /> CORPORATION <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC •- C I <br /> METER VALVE <br /> METER No. -TYPE:/fy' tyJ6 <br /> METER BOX CONCRETE SMALL LARGE <br /> ON <br /> DATE INSTALLED' 5 `� -� OFF SUB TOTAL <br /> CODE !Y LABOR AND EQUIPMENT RENTAL HOURS RATE <br /> - -- NO--AC I ION -- -- <br /> -WTif be Win on servlcp <br /> --- -- — ----Bpplieatianswitfloota-- <br /> � BackflDw�FexetlUDGlonsult�tiot�__ <br /> _ I ' <br /> TOTAL <br /> REMARKS: <br /> �7` �7 <br />