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APPL. SERVICE <br /> No. 83� CITY OF EVERETT ORDER NO '0 II I3 <br /> APPLICATION FOR WATER SERVICE /' p <br /> El FIXED DATE�c�.yL—. IR <br /> DEPOSIT, ios�- O TO POSTING_ '�� ➢.� N O• <br /> SERVICE (MY ADOREMII)_ / — ��� ��a.TF _ _._BLK.. LOTADD. <br /> Owl, :R A -S. [ i _CONTRACTOR _. <br /> INSTAL T VIC �b3I—Z) <br /> 1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF IHE WAIER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED: X <br /> MATERIALS K IN.I 1 IN.I E IN. I PROLE 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 /> ON <br /> DATE INSTALLED. I 1 ✓ I n OFF SUB TOTAL <br /> CODE LABOR AND EOUIPMENI RENTAL HOURS RATE <br /> P rje �— __- NO ACTION I <br /> _ UIIII he 12k*-_R --l-Ac- --_ _- <br /> _—_ _applications without a I _ <br /> Backflow Prevention Consultation <br /> TC_TAI <br /> REMARKS. Q,LA-)42C <br /> C7 � VI aF C = I' W S -0 W !•+ <br />