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NOPL. �•��y�3 CITY OF EVERETT SERVICE No 7382 <br /> APPLICATION FOR WATER SERVICE ORR <br /> ° FIXED �j -zd 17f)- DATZ--e -TOY/- <br /> W O. <br /> ° DEPOSITS <br /> / _TO POSTING V; W. <br /> SERVICE IKY ADDREKn <br /> i <br /> OWNSP, —CONTRACTOR— <br /> � F <br /> INSTAL METERED SLRVICE--_-. <br /> I HEREBY APPLY FOR TA W­61` WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED: % ;f,•lM� <br /> MATERIALS TG IN. 1 IN. E IN. PRICE AMOUNT <br /> PIPE COPPER•-GALV.•-STEEL <br /> CORPORATION <br /> CURB CCCK OT <br /> SERVICE BOX PLASTIC C 1 I <br /> METER VALVE <br /> METER ND_�,5��_ TYPE <br /> METER BOX CONCRETE SMALL LARGE <br /> ° ON <br /> DATEINSTALLED: (, OFF SUB TOTAL <br /> COOK I LABOR AND EOUIPMENI RENTAL HOURS RATE <br /> —11P3 3 - <br /> - NO ACrinA, - <br /> Will bo I <br /> aken <br /> - - ►��.,,:1'1"'Cal+ons wln ,���;_ — <br /> TOTAL <br /> REMARKS: /IOii�Z /) Z•,�(/ <br />