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APPL. IVV✓ CITY OF EVERETT SERVICE <br />No. ((�(J(J ogotw <br />APPLICATION FOR WATER SERVICE D 531 <br />FIXED DA_19 <br />(� DEPOSIT S f-1/"�uc�• (� NDO. <br />G SERVICE (EYADDR1ES'M) I' In,.,�/^L-J. b PL SGBLK.. SL�OTn/�ADD,C�II,L±� P5..__ <br />OWNff"leL�-1,ll 1 + l5f 4 CONTRACTOR--'-�` l 1= _ <br />INSTALL `-'/'-f IWET"ED SERVICE__ <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />MATERIALS <br />'A IN. <br />1 IN. I E IN. <br />11 <br />PRICE <br />AMOUNT <br />PIPE <br />COPPER - OALV. - STEEL <br />CORPORATION <br />_ <br />CURB COCK <br />OT <br />I <br />_ <br />SERVICE BOX <br />PLASTIC - C 1 <br />METER VALVE <br />METER No. <br />METER BOX <br />TYPE: <br />CONCRETE SMALL <br />I 4 <br />LARGE <br />DATE 1-45TALLED. LI��/�.T J <br />/ <br />ON <br />OFF SUB TOTAL <br />CODE <br />LABOR AND EOUIPMEN! RENTAL HOURS <br />RATE <br />�I <br />/. <br />TOTAL <br />REMARKS: <br />