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APP <br /> No I. �,(/, ;� CITY OF EVERETT SERVICE No 7398 <br /> APPLICATION FOR WATER SERVICE ORDER <br /> FIxEDTO POSTI�',IG�/a 2/9.�DATE_L—// _lo� <br /> DEPOSITS Z4� W.0. <br /> NGS—_--_ <br /> SERVICE (BY ADDRX66). -�/� lOO / _BLK.. LOTAy' LjADD.- _ <br /> OWNER adz, .CONTRACTOR_ _ <br /> FLAT- <br /> INSTAL METERED SERVICE <br /> I HEREBY APPLY FOR T E 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. <br /> MATERIALS % IN. 1 IN.i l IN. 1 C[ - AMOUNT <br /> PIPE _ _COPPER•-GALV.••STEEL <br /> CORPORATION <br /> CURB COCK COCK OT <br /> SERVICE BOX PLASTIC •• C 1 <br /> METER VALVE <br /> METER NO. TYPE:/ufP7?-+-lr <br /> j- <br /> (-METER BO CONCRETE SMALL LARGE <br /> 4 S <br /> DATE INSTALLED: Q'./�C//y <br /> _ IJ L� SUB TOTAL <br /> CODE LABOR AND EOUIPMEN f RENTA <br /> HOURS RAT[ <br /> applications withDld -- — <br /> I - — — *cflav Prim Caca:h��„ — <br /> TOTAL <br /> REMARKS: , G <br />