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. ._._...� :_ :•- .. ,� .. � <br /> i <br /> � <br /> I <br /> II <br /> �� NOPL���� � AP�LICATION FOR SERVICE SERVICE No � ZZ�� ,' <br /> CITY OF EVERETT WATER DEPT. ORDER � <br /> � FIXED ' <br /> • � O� .. � OATE�j�-�--.I814, '. <br /> �. � DEP081T s - r;✓�-'.c� . W.o. 1 <br /> I ';J'�'/ - �C�''� ��n,C c No. � <br /> � 8ERVICE (BV hODRE98) ��1 �V�L��'4Ty�.<<-� BLK.�LOT� ADD�N�S-CRII�.t� I <br /> � OWNER ��ni�i�ij� L..ii-L��:�C GO 1{�lf � <br /> I ' CONTRAGTOR I <br /> I INSTAL ?�� E7ERE '6 RVIG � <br /> I � HERF,BY APPLY FOR THE US ACCORDANCE WITH THE ' <br /> I ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING ���J �7� <br /> � OR AS SAME MAY BE HEREAFTER CHANGED. 61cNEo: X .JI"l�4_,-/ <br /> MATERIALB �' IN. � �ry, I � �N• � L I PRICE AMOUNT � <br /> L_P��'E COPPER- GALV.•-STEE:. y, <br /> I CORPORATION T —�I � <br /> rGURB COCK _OT _ I � I � <br /> I— <br /> L SERVICE BOX� PLASTIC -- C I I � — <br /> ��-—METER VAWE � I 1 <br /> i� h1ETER No. S 1 ?(�_�__—TYPE:�MPIRG__� � I — --_---_— – —_ � <br /> ii-- �� <br /> TER BOx GONCRETE _ SMALLI_LARGg � _I— _ i <br /> � -- -- /�/��7C' /i 11A�-f� � � � <br /> �- ----� �-�- -- , <br /> i__- --- �- <br /> I <br /> {--- - _ �_I` - -- � <br /> I I i � 1 <br /> �ON � <br /> I DATEINSTALLED: [� C• / <br /> �i -�•- �t�- � OFF SUB TOTAL , <br /> ��I LABOR ANO EQUIPMEN'fRENTAL � HOURS RATE <br /> � i /-���_�;�'�_� �� <br /> I , ------�-�=-- -----����- � ' - --- <br /> �--i - ---- -`��- �----- /-��-�'�----��- --- --- <br /> i -- -- --------_ ---- - -I - <br /> , �_ � - ---- ----------- ��-- - -- <br /> I � <br /> Torn� <br /> I REMARKS: �1 ' / � ' <br /> �---�!_n L`-f1Lli/-i-/-[i�%---��-L-r�=- <br />