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ZI� 9o � ° <br /> APPLICATIOti FOR SERVICE $ERVICEN . 1.6-�' <br /> APPL. �l /�� � / • ORDER <br /> Nn• ��-� r C{'T'Y QiF EVERETP WATER DENZ'. �' , 3� �y <br /> , ' DAT� —18--- <br /> �� W.O. _____ <br /> No._. <br /> DErOlSIT <br /> '�i [5 �'�iJ �iJETi!"P�-E . e�K. / �or eDD. /� '_— <br /> s6RViC! ar�ooRu�i U'�.7 7Z .. ��J G <br /> �✓G �/D���'� ��JA/7.� _ .CONTRAC70R <br /> OWNE � ��� —__.__.7— �� <br /> i � <br /> !NBTALI�MET�RED 6ERVIG� /_ <br /> I NEREBY ��PLY FOR TME UfE OF `N�TER IN ACCUPDAVCE WI7N THE <br /> ORDINANCES AND POLICIES OF THE W�TEN D[PARTMENT AIOW EXISTING pIGNED:�/ ,�C ��-- —�-'--__ <br /> OR AS SAYE MAY BE M[RE�FTER CHANGED. -,� pp�CE AMOUNT <br /> M11T[RI�L� j4 IN. � IN.� 2 IN. <br /> P�PE COPPER-GALV.-s7EEL — <br /> ,/ �) �0� � <br /> G0RP6RAi16N �`7 „�-��l�(•1 � �� /"�./�2.! � J �'7 � /�5 <br /> ��� -� /"/.s::el�a zJ —�'� a����� _ %j_ �3 /3 80_.. <br /> �u�,� �-*�---��- i7 �y�/ �� <br /> MfiTER VALVE ��XI �ti-� L-.�• rU� 'I�' --- —�-_ _- -Iv/ — <br /> M[TER No. <br /> �5.?G�S.'i�/�+'PE: "C'T � - — — _ <br /> M[TER bOX GONCR[TE SMALL_ LARGE __-- - <br /> a5-�xsx�, .�� �.� � r f? , � 5 �" <br /> .3?-�xBxi� ��% �., � ��Jt ., nr�� :.U�Q -- -- 5 7- <br /> �X�JN��'!��' _�_Cri�l�) PO.�7�� - �— — —�--- -- — 1' <br /> �'�C —�1.9�;.,�'�u=� G�1__—_���.' t <br /> ��i a �l'!��/I � -- I- � — �,h7 _— 3� <br /> hX3 :��c ,% � �—- -- --� 85 <br /> = /i 1�/:l�l�'�-��� �� ��� . /� /` 5�. <br /> �, .:�« ,u»:l<< z-i— i�i <br /> �/F�%% I ❑ OFF SUBTOTAL I�I��� <br /> JATE INSTALLED: �PPC', /�« rN ' � ❑ <br /> I HOURS f1�TE <br /> GODE �, LABOR AND iOUIPMENT RENTAL I��/�=� � <br /> �i x.d ,'XU -/ ���.s� _ �X31_��;!>l,L� �=I `— _ -�b o - - — <br /> ��' �t����' ' J���1�`1fl�..��.—'�'�--� '�`� - - - — -- <br /> � <br /> n,., ' �� J �.? ��/1/(_'���:��=�_�, -�- ��„?j,h7, c_ - <br /> �� �< <,: _� J -- <br /> ._ , Y��L�l���;,,_.• - 1--��I';7.'t- /.Z/.� I — <br /> ����1„�_t ,�!/ �16.[ti�.'�-�_-__— � -- ---- — -- <br /> -- -' - <br /> ------- ��- ---- - �i--- -- - - <br /> --��-__- =- <br /> TOTPL <br /> )�r� ___ <br /> -- _ _ - <br /> REMAPKS: --- � <br /> ^ _ ___ - _ _ __�1 r-JL�i/' - <br /> _ - � -- G �<__ `, y�_= `� �'�- — <br /> �� . <br />