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I ,Ap��`��`!�/V/ AF'PLICA.TION FOR��SERVICE SERVICE ��0 2152 <br /> I No. XJ ORDER <br /> CITY OF EYERETT WATER DEPT. ` �� _ �� <br /> I DATE_ 1 <br /> ,�� � D POSIT s ZUv� � NoO• <br /> � �f���° 9f �T}.—� ,-� . <br /> ' SERVICE (eY wonR[ee) ��'+ � ` �"��p ��'� BL16 S LOT j�ADD. � <br /> � OWNER J Ol�i JO�.� � �701JE.S _CONTRA�TOR ,�� <br /> I INSTALL� LA ED SERVICE - <br /> � • <br /> I HEREBY APPL'T FOR THE USE OI' WATER IN ACCORDANCE WITH THE <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXIS7ING � ,-y ��/ �•� '�� <br /> I OR AS SAME MAY BE HEREAFTER CHANGEO. slcr+eo: <br /> MATERIAL9 �/i IN.�� 2 I_—I-- PRICE AMOUNT <br /> � p�pg COPPE -GALV.-•STEEL :>��� _ I <br /> I CORPORATION T _ <br /> I�URB COGK �_���1J S / /� I� �__I — <br /> LSERVICE BOX� PLAS7IC •- � _ I � —. <br /> I METER VAWE _ _ �—. -- <br /> � METER No. TYPE: I i5 . <br /> _' _—'I'_— _ <br /> I METE� R BOX CONCRETE SMALL !-N�iGE __I I___ — <br /> � 3�/ .Z ����uA� :l`CI � � I �-_- -_ <br /> t � � I <br /> " _ P.%. �- -- <br /> o � � <br /> � Co..n — — <br /> I I <br /> --I -- — <br /> � � � � � I <br /> �N SUB TOTAL <br /> � DATE INSTALLED: 3 — 30 .. 7 � � aFF <br /> C�I LABOR ANO EqU1PMEN'f RENTAL HOURS RATE <br /> ii o�.�� I r _ - <br /> � � S'���.`���"'-y' ��. - - .. <br /> ; ��ii �---- <br /> —Z�- -- 3 �� 1�— <br /> i � ---�-- �'- I <br /> i i� -- � <br /> i TOTAL <br /> I REMARKS i� � �—,sr ���' � ._ <br /> � �� ;'� <br /> '�+C�- "_s_ <br />