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wPP�-,,'��99 APPLIGATION FOR SERVICE seawGe N° 'I O 3 H <br /> Ro• '� _; oROER <br /> :i�'. /� CITY 13r, E�ERETT WATER DEPT. / / % j <br /> � FIXED , . rt/ .. , � DATE_;_L����/�__19L�L <br /> . /`..' - � � � ' <br /> � OEPOSITs,�'r'_ (_�I J � --.--_:-. .____.. NoO.- . <br /> SERVICE IBYADDREes) ii,-__�( _ ^O _ �. . ��'�'�l t� L. I_fiLK.'-'____..LOL __ - _t,DD. — <br /> �NER . _ _._ __ . _ ___. . .. . _ . ___.. CONTRAC70R _ <br /> —. <br /> - i' ./iii � J� � FLAT /� � � � � i./�� N�_ I. '____ <br /> INSTAL� __-_MCTCRCD SERVIGf � :.,- .' •,• I�' .r . . , ' <br /> . -._._ _ _.____.i.'_l_..____�_'__ _" .' __' <br /> 1 HEflEBY. ApP{,Y FON 7HE U!E OF WATER IN� XGCoRnAN[E WI7H 7HE ' ' , � % <br /> ORDIN�NCE9 AND POLICI[5 OF THE WATER OEP�RTMENT NOW EXISTING � , �,, , , ��. ,, .�� \._,r� <br /> OR AS 5J1ME'MtiY BE HBPEAF7Ep�CHANG[b. smn[c: X � �� <br /> � ,.T! _ _ _ ���__ <br /> M,\TERIAI.S � � IN.�'1 IN. 2 IM. L_�T PpICE � AMOUNT <br /> PIPE COPPER - � I � � <br /> GALV.--STEFL �,� � � I_ i , � � <br />_ —. __-_ �_'__ __. . .._ .___ �__ 'l- ___ , . <br /> .. __.._..__" _..__ " __ <br /> CORPORATION � I li <br /> —________—_____--_._-_ .. ._--___-.�— _-_ <br /> I..-__ ------ <br /> CURB COCK OT ____ � j �� / .I("� - <br /> � <br /> SERVICE BOX PLASTIC -- C 1 I '�'� �5 <br /> _-____ .__.__.- ___ � <br /> METER VAWE � � <br />- - - - - _ __ _ ..I --- -- ---- --I _ --�I� ----- <br /> METER No. TVPE: p I <br /> -_.__' _"____. . .__. _ . .. ..__._-_. �I .�_ ..__.�i__--_� <br /> METER BOX CONCRETE SMALL LARGE <br /> . . . .. . . . .I . . . ' ^ <br /> �_ -� ' I I x <br /> __ _ li (/ <br /> ____.. _.._-.._ <br /> ♦ � . � / ix <br /> _ -_—�- -- _-"__- _� _�_ _-_-___l�__1 I�,l� <br /> ' __"_j_ �__-___ -____-1II!_ _ <br /> __._._- _-___ . .�_�. _I - I . 'I- -.�. .. _.�_____ _ -.-_'-.I _ --I <br />�__�-e^-�r Y- � - I . I I .. . .I. _ I 'll-___I-� <br /> T -__._ - <br /> DATE INS7ALLED: �� / � r / / ' �l I [}-�'�N � --- 5' � <br /> ' I C� OFF _ � � � � � ' SUB TCTAL 1 !� <br /> COO[ 1 L�BOR AND EOUI�MENTf1ENTAL I HDUPB qATE <br /> - I � � <br /> / r <br /> j � I J 1 .J /. <br /> r ' '__. _ _ .-_-__ '_'__'_ � <br /> .. _-._'.-_ '-- _ __'-. <br /> I � � ., i: ,: �_._._ _ j �I I <br /> � <br /> • _ __ _ _ -----: - - - ---, ---- - <br /> i � <br /> =L-------_ - - -- --- - ---------- - ------- <br /> -=. , � <br /> .���---- --- _ ----- -- - I --._-- <br /> i <br /> _ _ --_ _. . _ _ - --'-- - -- <br /> - <br /> -- - ------�- �r-�p <br /> TOTAL l' Id� <br /> kEIAARK9 ' „� J . / ` . .(. � , �-�, � . . . - . <br /> � � _ .. <br /> , :�._ <br />_ .� _ .. _ _ ' _ _ .' _ _ __ �. <br /> ___' <br />. % <br /> . .. . , �- <br /> 11__'' l. I.1.. � .' ' �: (_.. � (\ _ .` ' t. _ . _ . � <br />