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APPL iT CITY OF EVERETT O110HRE NO. 3602 <br /> NOG APPLICATION FOR WATER SERVICE <br /> VAT���TS <br /> Ej FIXED D o W O <br /> / NO. <br /> E] DEPOSITS 4Q S^ <br /> /O C� �7 �' d! BLK.._ —LOT—E—A <br /> SERVICE (BY A EI - <br /> CONTRACTOR_ <br /> OWNE —_--- <br /> -- <br /> INSTAL-3 ETERED SERVICE_ .- <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING. EIDNED: %. <br /> OR AS SAME MAY BE HEREAFTER CI:ANGED_ PRICE AMOUNT <br /> MATERIALS 1G IN. 1 IN. i IN. I <br /> PIPE COPPER- GALV.••STEEL -- <br /> CORPORATION <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC -- C I <br /> METER VALVC --'------ <br /> METER No. TYPE: I % <br /> METER BOX CONCRETE SMALL LARGE <br /> ON <br /> _ OFF SUB TOTAL <br /> DATE INSTA LLE U. � �J �� C7// <br /> 4 C_� HOURS RATE <br /> CODE LABOR AND[OUIPM[Nf RENTAL -- <br /> TOTAL <br /> REMARKS: --- _ _ - <br />