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APPLMP'A��� CITY OF EVERETT ORRDEIRnE NO. 3804 <br /> No. APPLICATION FOR WATER SERVICE <br /> DATA <br /> FIXED lsW.l .0. <br /> DEPOSIT f `jam No. <br /> . _BLK._ LOT —ADD._------- <br /> SERVICE (/Y Rpt) <br /> CONTRACTOR <br /> OWNE <br /> AY <br /> INSTALL�—FLAT REO SERVICE— --- <br /> I HEREBY APPLY FOR THE OF WATER IN ACCORDANCETHE <br /> ITH <br /> ORDINANCES AND POLICIES OFETHE WATER DEPARTMENT NOWWE%STING ._ <br /> SIGNED: X <br /> OR AS SAME MAY BE HEREAFTER CHANGED. PRICE AMDUNT <br /> W In. I In. IN. I <br /> MATERIALS <br /> PIPE COPPER••GALV.-STEEL <br /> CORPORATION <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC •• C I -- <br /> METER VALVE ---- I —' <br /> METER No. <br /> TYPE: 3< -- -- <br /> METER BOX CONCRETE SMALL LARGE _ <br /> I <br /> ON SUB TOTAL <br /> DATE INSTALLED: / )/ I ❑ OFF <br /> ' HOURS RATE <br /> LA/OR AND EQUIPMENT RENTAL <br /> CODE <br /> -J2 Lml <br /> I <br /> — TOTAL <br /> REMARKS: - "---" -- <br />