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SERV <br /> NOP�d� % �' v CITY OF-EVERETT SERVICE rv0. 3515 <br /> APPLICATION FOR WATER SERVICE <br /> FI% 'D C DATE 2 OZ —tY�- <br /> _jDEP MIT $ W. O. <br /> SERVICE (MY ADDRu BLK._ LOT_fra�Aa►I! t�'6� <br /> OWNER__L_.L�_ � CONTRACTOR _ <br /> INSTAL <br /> _IAETERED SERVICE <br /> -- <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING v <br /> OR AS SAME MAY BE IIEREAFTER CHANGED SIGNED; X _ <br /> MATERIALS YI IN. I IN. I X IN. PRICE AMOUNT <br /> PIPE COPPER - GALV.—STEEL <br /> CORPORATION-- _-- -- - - _ <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC •• C I <br /> METER VALVE _ <br /> METER No. -------- TYPE: -� - I Tf _ <br /> METER BOX CONCRETE SMALL LARGE <br /> I <br /> "ON <br /> DATE INSTALLED q—�1�—p0 I OFF SUB TOTAL — <br /> CODE ! LABOR AND EOUIPMFNf RENTAL HOURS RATE <br /> ncac f �' <br /> I -- <br /> TOTAL <br /> REMARKS. <br />