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No. ry� LI3 CITY OF EVERETT SERVICE <br /> NO. 1, 182 <br /> No. O` / <br /> APPLICATION FOR WATER SERV DATE p; <br /> GATE IY <br /> FIXED � � � <br /> DEPOSITS Aa NoW.� <br /> SERVICE (mY DDRRRESSS)) ✓"• 'BLK._ T 'ZO�—A <br /> i <br /> llra�f� <br /> _CONTRACTOR <br /> INSTAL, 3fi ETERED SERVICE <br /> 1 HEREBY AP LY 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 SIGNED:X . <br /> MATERIALS 141N. I IN. A IN. I LuI PRICE AMOUNT <br /> PIPE COPPER-GALV.-STEEL _ <br /> CORPORATION <br /> CURB COCK OT I — <br /> SERVICE BOX PLASTIC •• C 1 I <br /> METER VALVE -- <br /> METER No. TYPE: I _ <br /> METER BOX CONCRETE SMALL L GE <br /> i <br /> ON <br /> DATE INSTALLED. 0 OFF SUB TOTAL <br /> CODELABOR AND EDUVM[NF RENTAL HOURS RATE <br /> I <br /> TOTAL <br /> REMARKS: _ <br />