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No74Z 2`,& • ✓ CITY OF EVERETT SERVICE <br /> No. 3631 <br /> APPLICATION FOR WATER SERVICE <br /> O FIXED D D _y__19 0.— <br /> U <br /> DEPOSITS6� No O• <br /> SERVICE IBV DDR[ ) ,117 &74 BLK.. LOT <br /> OWNER CONTRACTOR <br /> FLAT <br /> INSTAL 3 METERED SERVICE - <br /> I HEREBY A P�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 YIN. 1 IN. PRICE AMOUNT <br /> PIPE COPPER-GALV.-STEEL <br /> CORPORATION <br /> CURB COCK OT I __ <br /> SERVICE BOX PLASTIC -- C I I <br /> METER VALVE <br /> METER No. TYPE: _ I )I <br /> METER BOX CONCRETE SMALL LARGE <br /> ON <br /> DATE INSTALLED: �� �Q I OFF SUB TOTAL — <br /> CODE LABOR AND EQUIPMENT RENTAL HOURS RATY: - <br /> <lyN T7fA-CVrwI <br /> I _ Aa�,•Tsor,I� <br /> TO L <br /> t — <br /> REMARKS: <br />