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p�ppL. � �� ? A S . _�4PPLICATIOW FOR SERVICE SERVICE N° 61 <br /> ORDER <br /> "�. / C/ 3 5—v ✓ CITY OF EVERETT WATER DEPT. oAT� �l,��r�� ��, �9� � <br /> � Fixco <br /> - �� w.o. <br /> � DEPOSlT s � � .j . No. - <br /> �Cu�Cr I� <br /> SERVICE �ar�'�ukeesl CL-� � �� �L� /� N�� �- BLK. LOT / ADD. <br /> � � �� - � I'`_ <br /> OWNEa _ _ — CONTRACTOR ���f�0 " � ��'- S — <br /> -�T zjrG �jy i� y(� r � SF <br /> INSTAL�3�METERED 3ERVICF _ —' — � <br /> 1 IiERE6Y APPLY FOR iHE USE OF WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POUCIES UF THE WATER DEPARTMENT NOW EXISTING BlaNeo: R.—� --- <br /> OR AS 5AME MAY BE HEREAFTER CHANGED. <br /> MATENIALB 3'i IN. 1 IN. � 2 IN. I PRICE AMOUNT <br /> I �� _1I� <br /> p�pg ,OPPER- GALV. -•STEEL _ <br /> CORPOF.ATION � I — I� <br /> _–_—_-- - � I <br /> CURD COCK OT � — � <br /> � SERVICE BOX PLASTIC -- C 1 i _ — I�— <br /> METER VALVE _ -� .—� --- -- --- � `L- '. <br /> METERNO.l�/�17r� ' 7�fG7�R ' TYPE: i� I 'A �.__ —� �, .� y <br /> � METER BOX ONCRETE , , MALL LARGE �_I � <br /> � 3� 1 --� � I -- —� I�lo <br /> �b- ° / _� — �.37 <br /> i _� � <br /> —T I <br /> _ .--.. I -- � - <br /> --- I I - J <br /> � � � �N 5 ��� � <br /> DATE INSTAL'.-ED: �app J`�,�Q SUB TrJTAL -- � <br /> j ' .� Z '(� -, n'�-Rr� . - , <br /> COD6 I LABOR AND EOUIPMENi RENTAL HOURS RAlE <br /> � C�f�c.A 1.L� � 3 '; ' ' o S� _ <br /> ---� — - -� , - s,J. , i, `-- <br /> I�,�, ti,�� __ _ , , �� �� �u� l <br /> , � I ll i <br /> � -- — -- i � t, . �i=� ���,� <br /> _ �-�1� -- � ,- , — - � <br /> � -- -- - -- ' ' <br /> � I TUTAL I p O /I <br /> ._ ��i <br /> REMARKS: -----�- -i <br /> .. _".--_'-- � <br /> � <br />