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, <br /> APP�„k�'�' •�� I <br /> No. ��-�� CITY OF EVERETT `3ERVICE „ ,�, ., <br /> . :Fl�� . . � APPLICATION FOH WA'�Efi SERVICE oRDER NO.e :�: �_5 ;; � <br /> � FIXED " .._. oB . DAYY��':F�/ �I _16Y O_ <br /> � DEPOSIT s d� � �� <br /> - W. O. <br /> No. <br /> LERVICE tev�ooqea��,T�V� �SL�� G,�.Q• �7/. .�C.S L� <br /> BLK._ LOT� <br /> OWNER__ `a"7t/ G � <br /> � �r - -- CONTRACTOR _ <br /> INS'fALL�U F <br /> METERED SERVICE______ <br /> O DENANCESPAND POLICIES OFETHE WA ER DEPA TMENT NOWWE%STING � p � C � <br /> OR AS SAME MAY BE HEREAFTER CHANGED. <br /> BIGNEO: X ��.x�"�4 <br /> MATERIALS �' IN. 1 IN. 2 IN. <br /> I I PpICE AMOUNT <br /> P�PE GOPPER-- GALV.-- STEEL__ I � <br /> CORPORATION r <br /> — �'� _' <br /> CURB COCK OT - <br /> I <br /> SERVICE BOX PLASTIC – C I � -- <br /> __ I —I— <br /> METER VALVE — . _. <br /> METER No. ___--�� ---TYPE: —�--� I . — — — <br /> METER BOX CONGRETE SMALL LARGEe � I— — - <br /> —_— _—__— — I <br /> —____—_ I I — <br /> P. S. .T G_> z��s r :s ---� —i�— <br /> /� � i'�, — �-x G_- 7 9 — I <br /> ------ � _I <br /> � i i i <br /> 7 I � ON <br /> Di1TE INSTALLED: � _ ��_ <br /> 'y' j � OFF SUB T07AL <br /> COOE "�--- <br /> I LABOR AND Eql11PMENffl[NTAL HOUR9 NATE <br /> I <br /> __I .–_ _ __ I <br /> - �r��j Z� <br /> - --- q��/� - 1 �-�- -- <br /> - - - -/ _ - <br /> -' !--- -- --� <br /> _ - _ -- - - <br /> � - ----------- � <br /> _� - __ ____--- �- -- - - <br /> REMARKS: TOTAL <br /> _— --- �__—_—__._. __—_--__ <br /> �' <br /> � . <br />