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3 . <br /> px <br /> 9Hf~i� <br /> y �3 <br /> C] <br /> H�J <br /> 00 yH NO. / SERVC <br /> CITY OF EVERETT RDEIRE P42 7334 <br /> H APPLICATION FOR WATER SERVICE <br /> ZO Ej FIXED Tl DATE_ 19 __ <br /> O N y DEPOSIT S_ ��rL' W.0. <br /> Eli �/n ,� {y^^ TO POSTING �L7419-4-4 "�- <br /> LT• Oq SERVICE I AOORtlSI_.(L �JL.S _ <br /> H �Y `-+-- BLK.. LOT. -noo <br /> Z 3 <br /> 9 H LLTTx11 OWNER (� CONTRACTOR__ _— <br /> IS <br /> [" yH 119STALI-3 T�` .METERED SERVIC __�✓_'e <br /> ~ I HEREBY APPLY F 'Ot Tft6 IN ACCORDANCE WITH THE 1 <br /> f0 1.,[Al ORDI N ANCCS AND POLICIES-OC-TRCWATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED OGNED: % <br /> H IA MATERIALS 111 IN. I IN. , 1 IN.I I ' nnICE AMOUNT <br /> H O CA PIPE COPPER- GALV. STEEL <br /> CORPORATION <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC C 1 <br /> METER_ VALVE ---- I -. --_-- --,- <br /> I <br /> METER No. TYPE <br /> METER BOX CONCRETE SMALL LARGE <br /> DATE INSTALLED. // -/ / I OPF SUB TOTAL <br /> COOK LABOR AND EQUIP-114f RENTAL I HOURS RATE <br /> I <br /> TOTAL <br /> REMARKS: "n <br />