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r <br /> APP�'/���GG6 APPLICATION FOR SERVICE SERVICE N? 3 g p <br /> No. ORDER <br /> CITY OF �V�RETT WATER DEPT, �s <br /> � PIXED DATE_�- -5 O __�g� <br /> �EPOBIT s�6� 64 2� W O• _.__.__ <br /> NO..__ <br /> SERVICE (�Y AODenn ��!v�_�_SC�+.c�.y__ ____pLK.____LOTn7_��ADD/.__. <br /> OWNE11�� (��'�rAl _____CONTRACTOR ,�����L/�/� _ <br /> iLAf / /- <br /> INSTAL METERED BERVIGE <br /> 1 HERElY AP LY FOq THE USF. OF WATER �N ACCORD�NCE WITN THE ` <br /> ORDINANCES AND POLICIES OF TNE WATER DEPIIRTMENT NOW F.%ISTING � <br /> OR AS SAME MAY BE HEREAFTER CHIINGED. nmim: X-�fQ�__,���i�Z C�.�.�� <br /> ��.�__ <br /> MAT6RIAL! Y.IN. 1 IN. 1 IN. <br /> I 1'MIC[ AMOUNT <br /> P�PE OPPE •GALV.-STEEL �� _ __ S I � <br /> CORPORATION �/ � <br /> CURB COCK OT I— — � � <br /> lfiRVICE BOX PLABTIG •• C t _ I <br /> METER VALVE _ ___ � <br /> -METERNo.U36 ��jdTYPE;���I� _ _ _— - - - � J <br /> METERBOX �:ONCRET MALL �LARGE . �' <br /> -��-J-�-/ 'r-�-�-- - -f - / <br /> �'��,�5'L 71 R I �OI/�7 <br /> --I— II— <br /> — I— — — J� <br /> - � <br /> ----------��--—i- I — — — <br /> � ON <br /> DATE IN9TA1_LED;2 _/ _� S ❑,tOF'F ��/Z SUB TOTAL J��/ <br /> C � <br /> COO[ � L�BOR �NDEOUIPMENIpENTAL NOUR■ RATE <br /> /x� <br /> _ Liaif � --------- --- - � � ' �:c �,. <br /> � -- ,------------ -- <br /> -- I_ <br /> _ iy��< . _ -- -��- 3���-- '. �` '=- <br /> - ' ----- � - u � <br /> I i___ _-_i� <br /> - ------ - _ _ � � I <br /> --- --- <br /> - - -- -�-- <br /> �' ' ' � <br /> _ -�-- --- -_. --- _ - ---��� - - ��- � -- <br /> TOTAL I. /� <br /> REMARKS: ` <br /> _ __� �R---'f'�iJ�y�e-c� __��.i _���t:./_ .�.-_s�� . <br /> � � ' <br /> � � ' _____"_-_ __ <br /> \ ' � [a!� __. ._.____-.. ._.___'. . <br /> _ �-- --_ � _ •: . ��, ( k4 � �., � <br /> � <br /> i_ <br />