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No. �� %J / <br />FIXED <br />Q DEPOSIT S{��•�' <br />CITY OF EVERETT <br />APPLICATION FOR WATER SERVICE <br />SERVICE _71 3 <br />ORDER NO. <br />SERVICE IBY AODRERRI--1�'�T YLA �L' S L BLK.. LOT I Q ADO.`• 1""A T <br />OWNER _ _ -CONTRACTOR <br />w AT, -� <br />INSTALI 1 METERED SERVIC __. --- <br />I HEREBY APPLY FOR T TER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING SIGNED: <br />y---- <br />aME MAY or MEREAETER CHANGED. -- <br />MATERIALS <br />% IN. I <br />1 IN. <br />I E IN <br />ppilec <br />AMOUNT <br />PIPE COPPER -- GALV. - STEEL <br />CORPORATION <br />CURB COCK OT— <br />SERVICE BOX PLASTIC •• C I <br />METER VALVE <br />TYPE•�p�ic�'.- <br />METER BOYCONCRETED �SMAL LARGE <br />�TJ-sZA --r; <br />- <br />- <br />- <br />T' <br />DATE INSTALLED: I /�.,�-- /� <br />ON <br />SUS TOTAL <br />I OFF <br />CODE I LABOR AND EQUIPMENT RENTAL <br />HOURS <br />RATE <br />TOTAL <br />REMARKS: <br />