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„ '' A�P�. APPLICOTION FOR SERVICE seRwre N� 3 ] ] <br /> s� y ,• ..� :Vo. /� ORDER <br /> �, � �`s� J ,5 CITY OP EVERETT WATER DEPT. �, <br /> �'��h � IXE � , DATE�_..� ��-1�� <br />��ti n DEPq51T 5 "7�C.��Lr� Gc' N d _ <br /> � J <br />� � SERVICE (eY A�qRces) '�`�_ v ' � ” -`�`ls� �LK. LOT, `� ( ADD._-- <br /> S _� � „ <br /> �� ) <br /> � OWNER �--��`.-"c:Ly, ` G-7�'."L'�`'. � CONTRACTOR_ "��_–�LL�� _. <br /> // i � <br /> — �— <br /> INuTALL_'-1 . _,METERED SERVICE_ <br /> 1 HEIfF.!;i APPLY FOR THE USE UF WATER IN ACCOGDANCE WITH THE _�� ��/ �� <br /> Oft01NAIiLES ANO POLICIES OF TNE N 4TER OEPARTMENT NOW EXISTING " / ' <br /> OR AS SAME MA'i 6E HEREAFTER CHnNGED. sIGNEu:�:�G::1�• .�L'" � 4 �' � <br /> MATERIALS I ?� IN. I IN. ' 2 IN. � PRICE �AMOUNT <br /> PIPE COPPER--(GAW.--STEEL ��� I—��� `9 � �� <br /> � <br /> CORPORATION � �� <br /> CURB COCK OT I _ � <br /> GERVICE 90X PLASTIC -- C I I I_ � _ <br /> iA6TER VAWE � <br /> METER No.e ---� TYPE: �' , I s6 � {1 -- <br /> /.3.`�i, -/��6[-t. 7.n` 1.�..: ".,�.��f----- - -- --- � � <br /> METER BOX �CONCRIiTE SMALL LA_ RGE� �" �_ �� � I`� <br /> �✓S�'_',_$i l� _ � � �J�. <br /> � . I "L- ��° � .�� 7�� <br /> 9; ,.u:- � � —��� <br /> x� � � ,_� � ' 15�. <br />� �-��� � —1— I z �_ %G� 7^f' <br /> c�:� ..,:�.�, I I .3 I I ,�f5 / 5 <br /> � ON p p <br /> DATE INSTALLED: I OFF ' SUB TOTAL ��/ pD <br /> � _ �r:_ �_ ��- Q"- j''. <br /> GOOE I LABOR AND EQUIPMENT HLNTAL I HOURS RATE <br /> � - - . . ' I �I <br /> ,� <br /> --� �, - � I � <br />. � /I;r, _ � �/ j i`1:- . �� I� � i�. <br /> 1�i <br /> � I ��' I <br /> ��32Lrtit ��_ �� _; 11�,'��I �i� 13 ��1v <br /> ' -- --- - ' —,� � <br /> � .n �.��� � � ; I - � <br /> TOTAL � �J��, �r� <br /> REA ARKS: I <br /> - --- �r`�} <br /> �_ -- --- -- — -- — -- <br /> �–<< <br /> i �, G � � �-- _ _ _ - - - <br /> _ ,, � <br />