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//�' SERVICE <br />APPL(�_ /74`YCITY OF EVERETT ORDER NO. .) � <br />No. 'C7L.- 1-1ci APPLICATION FOR WATER SERVICE <br />DATE.qzp <br />F14,FIXED W. O <br />DEPOSIT � -7 �+_� �No.-�,�- <br />POL <br />JZS l4TM �f' S BLK._ LOT �ODtO7 �Q 7E- <br />SERVICE (BY ADDRESS) <br />CONTRACTOR <br />OWN[ <br />�V <br />INSTALL_-__— [RED SERVICE -- <br />IN <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING SIGNED: >L. OR AS SAME MAY BE HEREAFTER CHANGED,PplcE AMOUNT <br />MATERIAL[ 141N/ E IN I I <br />PIPE <br />CORPORATION <br />CURB COCKJ OT <br />SERVICE BOX NPLAI <br />METER VALVE _. <br />METER No. <br />METER BOX CONCRETE <br />GALV. - STEEL / Q 4—�_ <br />TYPE: _ I H <br />SMALL LARGE <br />ON <br />DATE INSTALLED I OFF <br />LABOR AND EQUIPMENT RENTAL <br />coOE <br />REMARKS: <br />SUB TOTAL <br />HOII Rp' RATE <br />TOTAL II I <br />