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i <br /> 'CITY 0P•EVERETT ORDERSERS NO. . - • �a <br /> No. APPLICATION FOR WATER SERVICE <br /> DAT -1 S5 <br /> 0 F+%ED W O <br /> DEPOSITLl <br /> Q Q Nc <br /> 30:! ,,� �)1 .—_aZefY—_BLK._� T—c2 <br /> SERVICE ur AODNnn__-�.— /I EQi✓ •I <br /> OWNER, 2a/� �/CONTRACTOR <br /> L4 Y <br /> INSTAL METERED SERVICE <br /> I HEREBY APPLY FOR THE <br /> ITH THE <br /> ORDINANCES AND POLICIES OFETHE WATER DEPARTMENT OF WATER IN ACCORDANCE <br /> STING <br /> [ION[o: % _ <br /> OR AS SAME MAY BE HEREAFTER CHANGED. j PMC[ AMOUNT <br /> M ATRIAL[ 161N. 1 IN. [ IN. <br /> �` <br /> PIPE OPPER GALV.-STEEL - <br /> CORPORATION -- / <br /> CURB COCV <br /> P OT / <br /> SERVICE BOX PLA _• C 1 <br /> METER VALVE --.—_---- <br /> METER NO. _TYPE: SS ,_--- <br /> METER BOX CONCRETE _SMALL LARGE <br /> I ON <br /> SUB TOTAL <br /> DAT INSTALLED: /ey <br /> OFF <br /> HOURS RATE <br /> LABOR AND EOUIPMENE RENTAL <br /> CODE <br /> TOTAL <br /> REMARKS: <br />