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ISERVIC <br />No. /1 sJ! CITY OF EVERETT RDERE NO. 4266 <br />No. 4� APPLICATION FOR WATER SERVICE �y <br />OATAZ'r�r <br />11 <br />FIXED <br />❑ DEPOSITS (0 N�o. <br />SERVICE I[Y ADDRE[[I--� ^ �� BLK.. LOTJl_AQ "- <br />OWNE —CONTRACTOR <br />ii <br />INSTALL —METERED SE VICE — <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING [ION[D.X <br />04 AS SAYE MAY RE HFREAFTER CHANGED. i <br />MATERIAL[ <br />A IN. I <br />I IN. I <br />t IN. <br />PRICE <br />0UNT <br />PIPE <br />COPPER--GAI V. - STEEL <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX <br />PLASTIC - C I <br />METER VALVE <br />METER NO. TYPE: I <br />METER BOX CONCRETE SMALL LARGE <br />R <br />-- <br />-I <br />DATE INSTALLED: <br />�,- - 8 <br />ON <br />OFF SUB TOTAL <br />CODt <br />LABOR ANO [OU IPMENTRENTAL <br />'R9 <br />RATE <br />K, <br />TOTAL <br />REMARKS: <br />