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SERV <br /> Noa g- " CITY OF EVERETT ORDERNO. <br /> No. NO. 4623 <br /> . O <br /> APPLICATION FOR WATER SERVICE 'G <br /> ❑ FIXED <br /> El DEPOSIT III W. <br /> NO• <br /> SERVICE I ADQRn V BLK..�—LOT `�1R4Df�� <br /> OWNER J� — CONTRACTOR ----- <br /> INSTAL LI METERED SERVICE <br /> I HEREBYI HEREBY APPL FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING tlON[O: X. <br /> OR AS SAME MAY BE HEREAFTER CHANGED <br /> MATER I ALS K IN.I t IN.IKITH.I AMOUNT <br /> PIPE COPPER••GALV.•- STEEL <br /> CORPORATION <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC -- C 1 I —_ <br /> METER VALVE ---- <br /> METER No. TYPE: -_-I H -- -- <br /> METER BOX CONCRETE SMALL LARGE <br /> �. ^r I ON <br /> DATE INSTALLED: / N/ OFF SUB TOTAL <br /> COO[ LABOR AND EOUIPMEN f RENTAL - HOUR9 RATE <br /> TOTAL F_ <br /> REMARKS: -- <br />