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!� <br /> ����. �(p ��� CITY OF EVERETT 8ERVICE <br /> NQ ORDER <br /> APPLICATION FOR WATER SERV ICE N� 5 3 6 <br /> DAiE—L,��.1��-1 O <br /> � FIXED <br /> �i W.O. <br /> n DErOSl7' s �o� <br /> C �L �2 F�np m/' LOAP BLK._ LOT�ADD.L/ 5����� <br /> 6ERVICE uv�ouenn--/-W-��7— -� <br /> OWN[ CONTRAGTOR�Q'�`� <br /> ��� u <br /> INSTALL—L`� RED SERVIGF — � <br /> I HERElY APPLY FOR THE USE OF WATER �N ACCORDANCE WITH THE �/ <br /> ORDINANCES AND POLICIES OF THE W�TER DEPAR7MENT NOW EXISTING slcNco: X ��L.�L <br /> OR AS S�ME MAY BE HEREA"TE' CHANGEU <br /> MATERIALY w IN. 1 IN. � 2 IN. I� PRICE �IAOUNT <br /> r�rE COPPER-•GALV.-STEEL __�_ � <br /> CORPORATION � _ —I—� - <br /> I � � <br /> CURB COCK OT __ — <br /> SERVICE BOX PLASTIC -- C 1 I — <br /> METER VALVE .__. — ---- -- - -- <br /> MET[R No. TYPE: _ I 'f --_ --- - — <br /> METER BOX CONCRETE SMALL LARGE —_——� <br /> I � — <br /> — _ '_i � <br /> _—I � <br /> I I—�I <br /> � 1 {� l�l.y�yA bN <br /> UATF. INSTALLED��uL •l .! IJI�J I OFF SUBTOTAL <br /> COG[ I LABOR AND EGUIPMENTRENT�L I MOURS R�TE <br /> � I /�1������/Ly� I <br /> II_�_ _" <br /> � a a�3�_ �-- --- <br /> i <br /> � — --- -- i <br /> � _ — <br /> —i <br /> i <br /> -- TOTAL <br /> REMARKS: _ <br />