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No. <br />No: . <br />n FIXED <br />DEPO91T. �a <br />SERVICE (BY ADDRpq_.. <br />OWNER <br />ll FLA <br />INSTALL�Y_ - Rr <br />CITY OF EVERETT SERVIORDECE <br />No5074 <br />APPLICATION FOR WATER SERVICE <br />DATE LiS a. v <br />W. O. ((�� <br />Q NO. r _ <br />Je BLK.-__LOT4-ADD 747141 <br />-CONTRACTOR- _ <br />ERVICK <br />HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE _ <br />POLICIES ORDINANCES AND OF THE WATER DEPARTMENT NOW EXISTING <br />OR IN SAME MAY HEREAFTER CHANGED. •IONtO: X f <br />MATERIALE 11i IN.I 1 IN. 1 E IN. I I PRICE H AMOUNT <br />PIPE COPPER -- GALV. -- STEEL <br />CORPORATION <br />CURB COCK OT <br />SERVICE BOX PLASTIC -- C I <br />METER VALVE <br />_METER No. _- TYPE: <br />METER BOX CONCRETE SMALL LARGE <br />DATE INSTALLED: Li <br />CODE I <br />REMARKS: <br />1 // / I (j OFF SUB TOTAL <br />LABOR AND EQUIPMENT RENTAL HOUR! RATE <br />I _ <br />