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2a83� - 15�� <br /> ��� �D 03/ AP►LICATION iOR SERVICE sEaviccN� , � <br /> No. <br /> ' a CITY OF EVERETT WATER DEP7. oROER <br /> .� FlXED DATE�._�g7�_ <br /> � D[W�IT S� WOO. <br /> K <br /> •LI{VICC (�Y AOGIIO�� �3�0��� BLK. �L07 �DD. <br /> OWNEI�S��^'�/�A-L .!/L���,���IG�/f'S CON7RACTOR � " S�T+ GO f� <br /> I/ <br /> INfTAL�M�11[D �[11VIC� <br /> 1 MERFl1 11PPLT FO11 TME U![ OF WATER IN ACCORDANCE WITN THE /7 � <br /> OR[UN�MCES AND �OLICIEf OI THE WATER D[PAIITMENT NOW EIfISTING ������ ` / <br /> OR Af EI1YE MI1T !E M[REARER CXANGED. ncNco�_�yY�'����_"�'=�-{��.5=� _.___ <br /> __�j <br /> � MAT[III�L1 � IN. 1 IN. I = �N. '�� ppiCE •MOUNT <br /> P���'E COrrER-• 6ALV.--STEEL ,�� � � � <br /> CC�RrORATION _ I JF / <br /> CURS COCK O� I <br /> SIZRYICE �OX PLABTIC -- C I I <br /> M[TER VALVE <br /> 17[TER No.5r 9 7 � TYPE: L�,7�� —JI � I ---� J Iy,j/' _� !� <br /> M[TER BOX CON91!<T[ /^��"` 8� L-*RQC —� <br /> _— � ' � <br /> ��� � � <br /> �I <br /> I <br /> I <br /> � <br /> - --- -- - -- - i--i- '�- --�-�-- -- - -- <br /> � ON <br /> DATE INSTALLED:/f_/u_ .7/ I ��FF SUB TOTAL I ���.J �f 5 <br /> / 1 I <br /> COOE ��. L�BOR AND EOUIPI.1ENf RENTAL I NOUq$ RATE <br /> +�/Y�c�w./i.—_. _ —_ ____ ._ _-__ ___ _. ___"_—"-- . _ __ --.— __.I-�J_ .• . <br /> -- I �� „ <br /> - -- - - . <br /> I 3 � ' � <br /> ,.. . <br /> , ,• ,,,� <br /> —— -- -- — -- L u�ot � --- - Z 7� ;�;_:€ <br /> I---- - — — — v�, <br /> ' _ <br /> -- --- — ---- — --- -- -- <br /> , <br /> __-- — — — , :• � � <br /> ,,._. <br /> _ <br /> TOTAL �/� Z% . ' ..- -.- �' <br /> . . , -. . -�,:' <br /> _ <br /> _ REMARKS: . � ' �, ' ,: �,._.�. <br /> -- -�f��.�---- <br />