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A! <br /> ; SERVICE <br /> j Z ° a5 7CITY OF EVERETT URDER <br /> no NO. Jb LSpp�� <br /> APPLICATIOIJ FOR WATER SERVICE 44. <br /> DA <br /> FIXEDn0 W.O. .__ <br /> DEPOSIT $60 N�'9� <br /> / 6 6 BLK.. LOT/— <br /> SERVICE (MY AD EEE) <br /> CONTRACTOR <br /> OWNER <br /> 3 . <br /> INET METERED 3 RVICE <br /> ITH THE <br /> ORDINANCES AND POLIG ES OFTHE ETHE WATER DEPARTOF WATER IN MENT NOWANCE WEAISTING <br /> ■ZONED: X <br /> OR AS SAME MAY BE HEREAFTER CHANGED. PRICE AMOUNT <br /> MATERIAL- IN. 1 IN. 1 <br /> PIPE _ COPPER-•GALV.-STE EL <br /> CORPORATION - - <br /> CURB COCK OT - - - --I <br /> SERVICE BOX PLASTIC •• C I <br /> METER VALVE ---- <br /> METER No. TYPE_— <br /> METER BOX CONCRETE SMALL LARGE <br /> I <br /> cxOJ OFF ON <br /> . SUB TOTAL <br /> DATE INSTALLED: �? 9 AC� <br /> H011R9 RATE <br /> LABOR AND EQUIPMENT RENTAL <br /> CODE <br /> I � - <br /> I <br /> I <br /> TOTAL <br /> REMARKS: _ <br />