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y *�`YyMi,y,�t �!F't�. 4 <br /> } � ���;^+�C� $��� � .. <br /> N ry:.� 1 <br /> "f , v�^`� .,.tJ ' ` :::.� <br /> ... W`.1,.�'�r. ,e'tx�i+s: S� R�'� :!9 <br /> � " � SERVICE N� 2U65 . <br /> 2 /� �,3 APPLICATfON fOR SERYICE ORDER <br /> APPL.ZS <br /> � No. v� (`) � __�; CITY OF E�'ERETT WATER DEPT. ppTE��=-L==19L--L ' <br /> ' <br /> Q�Fixeo w. o• , <br /> .—,•1 � . q No. <br /> � DEPO8IT fc?��� • C � <br /> (� �` '-• f'.iT �'iF�c� <br /> U S �Oi� L'h�S� G /I'C �� f: U L� BLK. LOT ': �' ADD� <br /> � Ni�C � <br /> ' $cRVICEIBYADDREi�I _, <br /> i �Y� ^�� �/ ..C� __CUNTRACTOR <br /> OWNE � . _.—_-----_' <br /> i � ( <br /> I INSTAL METERED SERVICE— . <br /> � I HEREBY A LY FOR THE USE OF WATER IN ACCORDANCE W�Tk THE slGNev `` � <br /> ORDIN�NCES AND POLICIES OF THE WATER DEP�RTMENT NOW FXISTING P 'Ct , AM Nr <br /> I OR I�5 SAME MAY BE HEREAFTER CHANGED. � � �N I IN � Z �N. I_�� <br /> I�'���� MATERI�L$ I ' <br /> .__—�� — 1 <br /> I PIP=___ COPPER�- GALV .-STEEL � -- I — <br /> � CORPORATION � � I - <br /> CURB COCK �T __ I I _ --� <br /> I SERVICE BOX PLASTIC -- C 1 — --- -- '_ __ <br /> ��_�.--__��— <br /> I METER VALVE __------" I ^ /— __ <br /> .�—�—_—_— �L, I �— <br /> r---- �/�., - TYPE. � �ri� <br /> � ME7gR No. 7i.i..-.'��---_ ��_ _. —_ <br /> CONGRETE SMNLL� LARGE 1 I ___�-- — <br /> I MEr TER HOX — _— � <br /> � /P �t���Tf'�'�-'_ S � .� � -� I -�- -- - <br /> m�,- ,,, �;1,�,�� --i _ _ - - -- <br /> i ------_ _I _- <br /> � -�- �---- -- <br /> ! _-.___- i I I ; i <br /> �- <br /> I I � OFF J�.�� .��L ���� SUB TOTAL <br /> I DATE INSTALLED: _,� l, :-" �ouas RAT[ <br /> I LABOR AND EOUIPMENf RENM� I—�— <br /> CODE - � --- <br /> ���-/�- - -- --- I� -- <br /> i . _ . - :, ---- <br /> ,< < ' � �-- <br /> i i tf -:�<«�- -� -J� - II_ -,� - _-- -- <br /> � -� _--� _ --� <br /> � � •4/j.rl� --il��' � _ -_! - -- -- <br /> i �_------ �� � - - -- <br /> i -- �-- - --------- -�-- <br /> i-------- � <br /> I I _��— TOTAL <br /> I ._. I .' _ .— <br /> / �/ u --7 <br /> � REMARKS: /p( .ILL�S��--:! NF ri�t/-�� i< r_—_._ /� .� L� -C ��^�-� __ _ _ _._ - . . . . - <br /> ' — __ <br /> '" j- ,�,:�� ' -- - - _ _ <br />