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- f <br /> ��yyy <br /> A IIx <br /> >yy TO p�iTING 3t%-- Q�- <br /> r aIDPPL. J(�j94L CITY OF EVERETT on°fRf N° 7374 <br /> APPLICATION FOR WATER SERVICE <br /> DATE <br /> 0 =0 0 <br /> 50 <br /> FIXED <br /> v ti H DEPOSITS JU o°_ _ <br /> xC f ,/ <br /> H� SERVICE I MY ADDREEO �� SG BLK.. LOT-3t/ ADD. <br /> 01-1 <br /> H Ing OWNEIIJ�Qn0.hlb0� �'+'T CONTRACTOR <br /> n- 00 INSTAL. � �METBRfD SERVICE—_ <br /> 2 M 3 I HEREPT APPLY FOR-THE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY HE HEREAFTER CHANGED EIONXD. X <br /> y NM MATERIALS k IN. I IN. E IN. I RI AMOUNT <br /> 100 PIPE COPPER-- GALV.-STEEL <br /> M CORPORATION _I <br /> �+ It <br /> H y CURB COCK OT � —I{�— <br /> SERVICE BOX PLASTIC -- C I I <br /> METER VALVE - -_- _-METER No. Q,S�- TTPE:�(�yNC'.Y• I____ __ _- <br /> METER BOX CONCRETE SMA L LARGE <br /> ON <br /> DATE INSTALLED. I cl OFF SUB TOTAL <br /> COOK LABOR AND EOUIPMENI RENTAL I HOURS RATE <br /> cl I �v____ <br /> - <br /> ���� h+-Y7i'fl SMV CO <br /> uj —I ----.---- -- - ------- ---- <br /> p TOTAL <br /> REMARKS: <br />