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qppL. / v� 7 � APPLICATION FOR SERVICE SERVICE �v� � O L I <br /> No. A�� ORDER <br /> -, ..,�;�: CITY OF �VERETT WATER DEPT. � I ,�� i, <br /> ." -�_, DATFjL-���%i� —iD�_— <br /> rA F�XEU �i J <br /> 4S <br /> ��. C/ N/. O. <br /> � OEP0517 g i�,' . __ No. _- __ <br /> l//� �/��z�,�r,�-.-�� ,_�'� f�' <br /> sERVI.^,E (eYqDuaFss)_F� ----- -9LIC. 1 LOT AOD. <br /> / : . /�/ / �=.�r.7'Ll'_ —" <br /> �l% ' i -i �IZcLi/' . <br /> OWIJ'-:it_.._�__--._���_----.—_.___---__CONTRACTOR , — . —_ <br /> .^ � "_�G-iST:' <br /> INSTAL� � / ._METEREO SERVICE_—.— <br /> 1 HcREBY APPLY FOR TNE USE OF WATER IN ACC.ORDANCE \41TN THE � � /` - <br /> ORUINANCES AN� POLICIES UF THE WATF.G DEPARTMENT NOW E%ISTING � /�� <br /> ON AS SAME MAY 0E HEREAFTER CHAHGE.�. s�crvco: �� 1 --�'� .._ <br /> —L;J '""i <br /> MTTERIALS ii'IN.I � IN. I 21N. I I I VRICL AtdOl1NT <br /> PIPE COPPER-- GALV.••STEEL , .��i �I�;� <br /> CORPORATION � I �I I <br /> CURB COfK OT I � I_ <br /> SERVICE BOX PLASTIC — C I I � I _L__ <br /> METER VAWE �_ ___ _L_. <br /> METER No.'fFIL��ZQz-�i'yL-3 YPE: ,4tt'6.c/ I `f I _ _'— —� //, __' <br /> I � —_� _ <br /> METER BOX CONCRETE SMAL LF.RGE __ L�� %. <br /> �� � �_ _ �_ I ���� _ <br /> I _I_I—. I_ <br /> I I_. <br /> —I I <br /> _ � - — — i^I--�,I--_L�_� <br /> I <br /> OATE INSTALLED: I �ppp /I SUB 'fOTAL I �,� �/ <br /> .u-//i -%9 - - <br /> CODE I LABOR AND EOUIFMENT RENTAL I h10UR5 PATE <br /> �1 1 '�. %.- / <br /> �� �� -- � ������ �' �I<<�-- <br /> �-:��:ca :'J � _ �� � � — <br /> --�------- - --- �I _ - - -II I <br /> -�I I__ <br /> ------------ ---- --- --� �, � <br /> ��� TOTAL I J/� ��✓_ <br /> REMARKS /. � . , . � � , � ' . . � . `- _ � _ _" <br /> . _ __ _-1 .. —_ ��___� .. • (, ..'. <br /> . �- . _--_ . — '_— � <br /> _ �+ . � <br /> . .!� �,�t ������ / . . : � — ��� � � ' � . ^—___. <br />