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SERVC <br /> APPL. CITY OF EVERETT ORDEIRE NO. 4405 <br /> APPLICATION FOR WATER SERVICE <br /> /FIXEDlz: yyGyyATE���-10 <br /> DEPOSITQ� No.— <br /> SERVICE (BY ADDRpBI�[1- �' <br /> OVINE IT C� A )e A1C@ fmB a __CONTRACTOR_ in e, — <br /> N F <br /> INSTALI 49ETERED SERVIC <br /> 1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE I <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. •ION eD: X <br /> SP's MATBRIA.B $IN. 1 IN. I t IN. PRIG[ AMOUNT <br /> PIPE <br /> CORPORATION _ <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC — C I <br /> METER VALVE _ <br /> METER No. —WZcg- _ TYPE: <br /> _METER BOX CONCRETE— _ AL LARGE — <br /> IF <br /> 1-3 <br /> DATE INSTALLED: Of/ 7,�0� I '� OVF SUB TOTAL <br /> COO[ /JJ "LABOR AGGNDD EpUIPM[Nf R[NTAL HOUR! RATE <br /> g � <br /> TOTAL y <br /> REMARKS: <br />