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NOPL. /9�V � <br />w� <br />: <br />/�9.3s <br />FIkED <br />�. <br />� DEPO5IT S _ f�� � <br />SERVICE.fev �ooncset��s7�" <br />t..PPUCATION FOR SERYICE ORD �CE �Jo 'I O <br />CITY OF EVERETT WATER DEPT. oAT� !�,�"�% ��, ��,/ <br />�— /o%�--- <br />_, _, i� ;�,,./�, ., �v � <br />i." � <� .. . ' ._ No. — <br />OWN�i�t[�'�f Y1a-f.dA. ��L.it/-�- / �� 1:.--CONTRACTOR L� '�.../� <br />✓ � <br />INSTAL 3/ _td'E,TERED SERVIC _-------- <br />1 HEREBY IIPPLY FOR 7HE USE OF WA7ER IN �CCURDANCE WITH THE '. 1, <br />ORDINANGES AND POLIGES OF THE WATER DEP�RTMENT NOW E%ISTiNG / ��f q,(,� � <br />OR AS SAME MAY BE HEREAFTER CH�NGF.D. sicueo: X_JS.L�1Z __ � <br />MATENIALB �:N. 1 �N. I 2 IN. I I I PRICE AMOUNT <br />PIPE ��COPPE -- GALV. -- STEEL'__ � .�� ��Q��� /'; <br />CORPORATION � � I� � _I�L�� <br />CURB GOCK OT I I I <br />3ERVICE BO% PLP.STIC -- C I I I�� <br />METER VAWE --� I __ ___ I—��L_. <br />METER NO.� (.� I � �iTYPE: "J I 2� <br />f C 1�;3� ���C�,,J �- ^` I-t. - — -- — � :/J// �� <br />METER BOX CONCRETE� CSMALL) LARGE� �'�__I —_ ��� <br />::� n; ...�,�. :,�r'. ' �OI/�� <br />DATE INSTALLED: h / OFF <br />/-� 3- G , .:; � , .,. , ❑ <br />CODE I _ LABOp ANO EOUIPMENT PENTAL <br />I/ . ( L�YI._ 1 . _" <br />REMARKS: <br />SUB TOTAL ,5 � � <br />HOl1R8 flATE <br />� - ' � z� �� � <br />' ! / �i �� � �� � % i <br />� - _ . <br />- 1 <br />-_ - i _ <br />. I <br />r <br />