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i <br />�� APPL.���� � APPLICA'f70N FOR SCRVICz SERVICE N° 2402 <br />I N�� ��� � C17Y OF EYERETT WA7ER DEPT. ORDER <br />i O� FIXED DATE � �_ �L —19� � <br />i �("' G <br />� DEPOSIT 5� (�'(,;i-� W. O. <br />No. <br />I 1 llr..7PL. Lc'L�j_5^ <br />�; SERVICE (BY AD�RESS) � � L� � - ���+�� S�'�`� _BLK. LOT_ ADD. <br />� OWNER�` J ����E-� �� ��'� �L-� CONTRACTOR <br />� +'�l � FL <br />I INSTAL�_�METERED Sco�i�r�r �� s _ <br />0 <br />I 1 NERE9Y APPLY FOR 7HE USE OF WATER IN ACCORDANCE WITH THE L- <br />� ORDINANCES AND POLICIES OF TI'E WATER OEPARTMENT NOW EXIS7ING <br />1 �OR �AS SA�M_�E MAY BE HEREAhTER CHANGED. s�cr+eo:�.— �z.-.=C.�.-� —� <br />� MATEftIA'.5 Ij� �/� ItL 1 IN. � 2 I . I I � E AM UNT <br />� PIPE COPPER -- AW -- STEEL I ,3 G' _ I <br />I CORPORATION � �` <br />� CURB COCK OT _ I I __ <br />�ERVIGE BOX PLASTIC -- C 1 I �I , <br />� METER VALVE C N �__'I_—. ___—' _ <br />� METER No. � x f"`� _ TYPE:I'1f���/J�_'.I 35 �� ___ ___ _ _ <br />j� METER BOX CONCRETE i SMALL LARGE � � _ � <br />�—�� - —�--_ <br />%•,�ilC-T�- .�• r_S I � I-- <br />�.�-�------� , I <br />,. - � <br />; "" .?x h' ry_ �Z:L.�-a���;:r�y ,s�:�r� , - <br />I l�isoo���,�,. <br />t soo lbr. co%� �r, i v-�"� �. <br />� ��"� .7� " C'� i. ��F - <br />I ?"C'.1. � � <br />IC'{� C N <br />I DATE INSTALLED: `� � 7-7 I n OFF <br />� J ! / <br />COD, g I • LA80R AND EQUIPNENfRENTAL <br />�I -'_-_ - - _ f . � <br />I <br />� � .. <br />� ! <br />� � <br />I I <br />REMARKS: %� � <br />Li <br />SUB TOTAL <br />I HOURS RATL <br />I_ � t-- <br />I �' <br />�3 <br />�J - - <br />I 1 ?. <br />jI �) -_ - <br />I �/ <br />7orn� <br />