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, <br /> ���� SERVICE � 5 7 5 <br /> APP� APPLICATION POR SERVICE oRoeR N <br /> Ho.� � � <br /> ��,y� ; C,ITY QP EVERETT WATEIt DEPT. oAr�. �, `�—,e� <br /> / " <br /> �-FIXED � W.O. _ <br /> � DEPOSIT a v' ��J J No. - <br /> 4� l L�-�'/ '`-�ri BLK..--LOT_L--ADD. <br /> SERVICE (BY ACDnE68 <br /> � <br /> �' � CONTRAGTOR__- � <br /> OWNER '�� � S <br /> '� � FLAT <br /> INSTAL�METERED SERVICE_ �— <br /> -7� >�� <br /> O DENRNCES AND POLIC ES OFETHE WATER DEPARTMENT NOWWEX S ING `-J�Gyzi��� .f , �/f �L= ' <br /> sicr+co• X �L_ <br /> OR AS SAME MAY BE HEREAFfER CHANGEO. � �� � �N. � siN. I I PRICE AMOUNT . <br /> MHTERIALS z <br /> ` ' I I- -5� �) I� <br /> P�PE (COPPER,- GALV.-STEEL _ I <br /> CORPORATION I I 31�/� <br /> `CURB CO�� `�'V , / —� L O <br /> 3ERVICE BOX LASTIC .� C I � I I <br /> METER VALVE ___ I I c <br /> - TYPE: .� ---� I 1 <br /> METER No. �_ -- — r <br /> METER BOX CONCRETE SMALL LARGE ,__ I��/ <br /> � / ) � '/ <br /> ��/,. f� r„ . , - -� I L���� <br /> �' �l � � ,• — <br /> �_ <br /> ., py., I- � <br /> -/11=-��-- I <br /> � � -- <br /> � ON SUB TOTAL �Lf E;L/ <br /> DATE INSTALLED: , - 5y� - C �� I �] OFF �., � ; <br /> HOUR9 RATE <br /> L�BOR ANO EOUIPMENT RENTAL p�J � �, <br /> cooe � I 3-- �O7- r :"/� � <br /> —_ I i�l <br /> �?i� _� — I, <br /> � � � � _� ` � ,�. <br /> I��: , :� , � � li I <br /> � � � .�;S�' �li � �-`'�-- <br /> 10 -�r� � �� � <br /> II __--_-_.__—.___ I TOTAL �AI��, <br /> aREP,!ARKS: S� �p - ,� z'ii . `�•�c.y t' / c'n�--:f1S'� -_ — !� __ <br /> /J- 7� �O� r�_ —_—__ _ ______— '__— <br />