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No. IMi APPLICATION FOR SERVICE servlcE 1863 <br /> CITY OF EVERETT WATER DEPT. ORDER ��tt <br /> a-P11ED DATE_' <br /> C) DEPOSIT S Aj O. <br /> �No._ <br /> SERVICE (BY ADORn[1- SLK LOT.c_:�,DSD.,''✓ <br /> OWNER- //1 / W -s-6j --CONTRACTOR <br /> INSTALLS-_FLAT <br /> METERED SERVICE <br /> 1 HEREBY APPLY FOR 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. •ZONED:X <br /> MATERIA L[ PRIG[ AMOUNT <br /> PIPE COPPER--GALV..-STEEL <br /> CORPORATION _ --- <br /> CURB COCK OT <br /> SERVICE BOX PLASTIC -- C i I I� <br /> METER VALVE <br /> METER NO. Z� TYPE: '0A' — - --- 1 <br /> _METER BOX CONCRETE SMALL LARGE - <br /> J— <br /> DATE INSTALLED: <br /> S -/• _�/ OFF SUR TOTAL <br /> COD[ LABOR AND EQUIPMENT RENTAL <br /> NOUR6 RATE <br /> REMARKS: TOTAL <br /> I <br />