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AP?L. ' �,����° APPL:6ATION FOR SERVICE SERVICE �}° 3$�+ <br />NO. 1 ORDER . �� <br />1��,��,� CITY I��WERETT WATER DEFT. DATE ���� —,s-�' <br />� FIXED / ,��[22_,{iw,��� <br />�I � W.O. <br />DEPOSIT 5_.� No._-__ <br />SERVICE (HYA��REss, 0��� T `'���«'i'��>/ � BLK.—_LOT--ADO.-- <br />WNER CONTRACTOR__ --- <br />(! 1. � / FLAT <br />fi}STmr /y ptE2E',2Ea-6ERVIC� ya - <br />I NER�9Y APPLY FOF 1'HE U'.3E OF WATER IN ACCORDANCE WITH THE L� <br />ORDINANCES ANI� POLIQES O' THE WATER DEPAG761E.NT i+OW EXISTING / � ��� � �� � <br />OR AS LAME MAY BE HEREAFTER CHANGED. 5lcrverfX` <br />MATERIALS �/i IN. 1 IN. I 2�IN. �� � PRICL <br />, <br />PIPE �C6PPE�- GALV. - STFEL � I -. S/ <br />CORPORATION I <br />I <br />I I <br />-curxe coc�?! 'b7 _ J __ <br />SERVICE BOX (PLAS7IC -- :�f / I I I <br />IdETER VALVE <br />1dETER No. --�— 7YPE: I 36 — --I— _ <br />METER BOX CONCRETE SMALL LARGE <br />'�)i ' �—� - __ <br />.'[ )�L , �� � <br />/�. �.A-. ...r: ���� � � �� <br />� i �� � <br />L ;) _ C,� % <br />n� ON <br />/`� ei <br />DATE INSTALLED: /�'/�(r� E+�� � OFF <br />CO�E I LABOR ANO EQUIPM1tENT RENTAL <br />REMARKS: <br />� , � .... . <br />� <br />� <br />t f�i ' c �'�` �'v'[ �` <br />-�'L� Pr.__ C,G� .�.�..7_._ <br />IOUNT <br />9Vz <br />SUB TOTAL I 'f <br />_� <br />Houns RA'E <br />�_ 3.7.Sv; .1 <br />i <br />J <br />��_ ��,�����v� �Z <br />�--- -�I � _ <br />� � i `=� ;; % i `>n - <br />TOTAL <br />