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No. `" s�� O CITY OF EVERETT SERVICE NO. 4675 <br />APPLICATION FOR WATER SERVICE <br />FIXED DATE <br />DEPOSIT S <br />El//11� <br />—V_—__ W. O. <br />No.-- <br />SERVICEC <br />��2le ooR •rx1 �,�d__ - 'BLK._ LOTL._EVr� <br />OWN —�NQ/71___� _CONTRACTOR <br />// F -- <br />INSTALL ETERED SER C I HEREBY APPLY FOR THE -OF-WATrW ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED SIGNED X <br />MCT[DIAI C _ <br />PIPE /ice <br />CORPORATION l' <br />CURB COCK OT <br />^'I •IN• <br />I <br />PRICE <br />AMOUNT <br />' <br />SERVICE BOX PLASTIC .. C I <br />METER VALVE <br />METER No. TYPE: I K <br />METER BOX <br />— <br />A&C m7- e _ <br />-- <br />_ AIL- <br />��3/ <br />DATE INSTALLED: �,/� <br />I OFF <br />SUB TOTAL <br />CODA LABOR AND EOUIPMENf RENTAL <br />HOURS <br />RATE <br />TOTAL <br />Ar . <br />