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N2 (o1.3) CITY OF EVERETT SERV <br />ORDEIRE <br />NO.o. oNO. 4892 <br />APPLICATION FOR WATER SERVICE ��L[ <br />DEPOSIT S �00• <br />SERVICE IttVV� AJ�D�DRp9I.—J..(G= 1 t_�11 ✓ �-- BLK- L'6T_//`�� __��AA/OD. /� ._-�` <br />OWNER--3 r j ._ _ CONTRACTOR—Cr-mi N_`I(J, ,w- u[l�— <br />I <br />INSTAL ETERED SERVICE --- <br />I HEREBY 0PLY FOR THE USE OF WATER IN A:CORDA..LE WITH THE ' <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. SIGNED: X. <br />MATERIAL[ 11i IN.I I IN. I[ IN. I I I I PRICE, R =MOUNT <br />PI^R <br />CORPORATION <br />CURB COCK <br />SURVICE BOX <br />METER VALVE <br />METER No. <br />METER BOX <br />OT <br />COPPER -- GALV. -- STEEL <br />PLASTIC -- C 1 <br />_ TYPE: 1 14 <br />CONCRETE SMALL LARGE <br />R <br />ON <br />DA E INSTALLED: OFF SUB TOTAL <br />CODt LABOR AND FOUIPMENf RENTAL HOUR[ I RATE <br />REMARKS: <br />