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APPL 3 esevlee <br /> g�p <br /> No. / CITY-OF EVERETT ORDER No. 3789 <br /> APPLICATION FOR WATER SERVICE T y� <br /> FIXED OD DAT' _r�_)po.L� <br /> DEPOSITII; L/7 f W O <br /> /'9� No <br /> SERVICE ICY AOOR A)�50 /O EJ-= GA =Y:C— _SLK.- LOT-�syA �] �. <br /> OWNE 0 j _CONTRACTOR_ <br /> 3 A <br /> INSTALMETERED SERVICE_ <br /> 1 HEREBY APPLY FOR THE USE OF WATER IN ACCORMANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAf BE HEREAFTER C1:ANGED SIGNED: <br /> M ATER LV.r- 141N. I IN N. [ AMOUNT <br /> PIPE _ COPPEP. - GALV. -- STEEL <br /> CORPORATION <br /> CURB COCK - OT_- - --� - - <br /> SERVICE BOX PLASTIC •• Cl <br /> METER VALVE <br /> METER No. _ TYPE: — I q <br /> METER BOX CONCRETE - SMALL LARGE <br /> C <br /> DATE INSTALLED: � /�1 /AGI'/ r- OF.F SUB TOTAL <br /> COD[ LABOR AND EOUIPMENf RENTAL HOU/RS RATE <br /> --I H&V I r r <br /> I <br /> TOTAL <br /> REMARKS: <br />