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wrP�.��j��� APPLICATION FOR SfRVICE SERVICE N� ZZ95 <br /> � NG. ORDER <br /> I CITY OF Ei/ERETT WATER DEPT. onre__.;_?- isL <br /> � FIXED <br /> ,.�_ <br /> DEPOSIT s W.O. <br /> ❑ �-- No. —. _- <br /> SERVICE �er�oonrsci�.0 � ! rLG�i�y _BLK. L07 ADD. __ <br /> , _�_ <br /> O'WNER-..�11._--�1__ _L1J�_ir_��__ --CONTRAC70R_ <br /> � FL�T�� <br /> � INSTx •- -� -1"F•1ETERED.SERVICE�--.-- -- - <br /> � I HERE6Y AFPLY FOR THE USE Of W�Tf:R IN ACf.ONDANLE WITN TME <br /> ORDINANCES AND POLICIES OF THE WRTER DEPAFTMENT NOW E7{ISTING <br /> OR �5 SAME MFY BE HEREAFTEH CHIINGED. 61GHm: X _ _-.-_.— -. <br /> MIRERIALB �41f1.I 1 IN. � 2 �N. � I PR�CE �1MOUNT <br /> PIPE OPPERI-GALV.-STEEL QU�I I, _ � <br /> GORPORATION __ _ I / I I_ _ I <br /> f- <br /> CURB COCK OT _ _�__�� _ _ �. <br /> SEHVICE 60X PLASTIG •- C I I � - <br /> -- —i�- - <br /> ,dETER VALVE � <br /> METER No. �S �-�./. . TYPE: �Jr��� r� I � _ I J _'_ _ _ ___ <br /> ETER BOX_CONCRET � �� SMALL LARGE _ _ <br /> ,�/_�_"� �t_��f�-P����T � <br /> �' � _ �, �9��lL�� - � -- -- ' <br /> � -- -- � -�i-- -- - <br /> i -- --- -� -�---�-� - - - --- - <br /> ; �� I i � 1 <br /> � _ 7 I �(ybN <br /> � DATE INSTALI_ED: . �I- � .� � (S r OFF SU� TOTAL II <br /> � COOE I LABOF .�ND EOUIPMEN!PENTAL � MOURS R�fE <br /> 1 +� , / <br /> . _ " ,.`.S_�(V/�'1'Q.�:_��1't'�. .._____ _ . __ _ . + <br /> __ _ �V/ I <br /> : �' _ �--���_���4-� - -- -- � <br /> � � - ��,%�. � . ��� �- - - � <br /> ,--'-��� --- <br /> i � a � ���� �` �-Z �- - -�- - � <br /> � ' - --� --��r.� '�_-y��- ---- �,- - ' <br /> i— <br /> ,-- - - --- - - - — <br /> i— � <br /> I TOT'AL <br /> I REMARKS; � <br /> 1___--- __ _ - _ _ _ - _ '.. _ .. _. __ _ _'_ ' . _ <br /> 1 <br /> � <br />