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No►L a8 q� CITY OF EVERETT ORDEIRE N° 6962 <br /> APPLICATION FOR WATER SERVICE / - <br /> NS FIXED � OATS <br /> ""� ❑ DEPOSIT B (jg / No 0. <br /> SERVICE (BY ADDR''ULNI /�/J� r ' . s�" BLK..__LOT. <br /> OWNER AV(XL71 L-o," CONTRACTOR__ <br /> N FLAT <br /> INSTAL METERED SERVICE_ <br /> 1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE n , <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANCED. SIGNED: X J _ <br /> MATERIALS Ill IN. 1 IN. I A IN. PRICE AMOUNT <br /> PIPE _ COPPER-•GALV.-•STEEL <br /> CORPORATION <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC -- C 1 <br /> METER VALVE <br /> METER No. TYPE: <br /> METER BOX CONCRETE SMALL LARGE <br /> _ I _ <br /> ON <br /> DATE INSTALLED: _ t / _ /l I [] OFF SUB TOTAL <br /> Y- Gi <br /> CODE LABOR AND EOUIPMENI RENTAL HOURS RATE <br /> _ I _ <br /> TOTAL <br /> REMARKS: <br />