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N P�oT)���� A�PUCATION iOR SERVICE ecAviciN� 17nO <br /> ✓ ORDF_R <br /> CITY OF EVERETT WATER DEP7. �� <br /> � RI%ED DATE /vr7✓�_ 3O �p7� <br /> � DEM61T s 2 / �'� No�� .______ <br /> sE� 2 - �g - 5 <br /> S[RVIC6 I��Y A�DD11u�> 753 U �PL E Y �O/Q D BLK.--LOT ADD. <br /> OWN6R ��OC'3�T f'I-�/q/�'S _CU��TRACTOp <br /> � INBTAL��R[D /ERVIG� <br /> 1 HERElY AP►LY FOR TNE Ufi OF WATER IN ACCORDANCE WITH iHE ' <br /> ORDINANCES AND ►OLICIES OF THE W�TER D[PAl1TMENT NOW EIIISTING / �� /'� <br /> OR AS S�Y[ MAY BE M[REAFTER CHANGEU. noNco: X. .C.�4�'1_-_G�CL����__ <br /> MATq1�U X IN. 1 IN. i IN. i PPICE AMOUNi <br /> � � <br /> PIFE CORER-GALV.-STEEL �__ _ <br /> CORPORATION -� _ -- _ <br /> �URB COCK OT I <br /> SEF"ICi WX PLABTIC -- C I I <br /> M6TER VAW[ _ _L_ <br /> — _- — __ —.- t <br /> _M[TER NO. � 99 _ TYPE:f`�� 3{ _ _ _ _ t <br /> 1_�_ � _ <br /> M!T!R SOX CONCR[T[ SMALL LAR6[ � <br /> � _ ���- �� ' --i---i - -- - - <br /> - -- - -i -- - - <br /> ----- -- -- -i - -- <br /> ----- ---- ---i -- - - - <br /> ON <br /> DATE INSTALLED: /,� - � 7 � I �y�FF ///y SUB TOTAL <br /> LJ ' /l7!A �,�.r <br /> COD6 I LABOR AND EOIIIPMENf RENTAL � � HOUPS HATF <br /> I-41'i-�'�"`�ti -- -------�� ----- — <br /> �_� � <br /> I I_. _���Q.d�2W�____-_____.—_—.__ — � _ —' <br /> --+- — — <br /> .— � - - ---� ------ � ---------- --- -- --- <br /> —— -- <br /> - — - <br /> �__ � <br /> l. — i <br /> �-�-�- .��'�- - -- �-1-- - - -- <br /> _ .�,��-�-- - - - --- - - --- i � � - <br /> TOTAL <br /> REMARKE: ` / • � � <br /> -- -----/vEw--C<Jr9-TEiC._��/2✓1 cL�-- --- ---- <br /> �O-ctu/ lJ'c<�t�.c�i -------- . <br />