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APPL�2**4J � CITY QF EVERETT SERVICE 1` <br />NO. ORDER NO. - <br />APPLICATION FOR WATER SERVICE <br />❑ FIXED DATE_! -1S <br />/Tl� O� <br />❑ DEPOSITS t7 ' . 0•_- <br />66RVICE Isr ESSI'p G--�i9LN..--_LOT-LI_-A <br />OWNE.afc_' Q•CC •._Ys-v CONTRACTOR ___- -_ AO.Z <br />n <br />INSTAL, 3/, 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. BIONEO: <br />MATERIAL■ W IN. I IN. i IN pICE %MOUNT <br />PIPE COPPER •- GALV. •• ETEEL <br />C0.. ORATION <br />CURB COCK OT <br />SERVICE BOX PLASTIC - C I <br />METER VALVE- - - _ _ ---- <br />METER No. TYPE: <br />METER BOX CONCRETE SMALL LAN,-•i <br />-� ON <br />DATE INtiTALLED. 'i % ,�, ,� %1`� I OFF SUB TGTAL <br />i <br />CODE LABOR AND EOUIPMENf RE,'TAL MOURE RATE <br />REMARKS: <br />