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HsHH <br /> M � � <br /> m � x <br /> C H <br /> � Y $ <br /> y2H <br /> �C C� <br /> H � <br /> O � O <br /> '�] H '�] <br /> VJ H <br /> C�70� <br /> Hl7 <br /> OH <br /> � [��70 <br /> �V n <br /> 9H� <br /> t� z <br /> F-+ H <br /> d � <br /> O H <br /> f] C7(/� <br /> APPL. SERVICE <br /> C N�. 2�8�14 CITY OF cVERETT ORDER <br /> z y� APPLICATION FOR WATER SERVICE N° 5 61 5 � <br /> H O � � FIXED DATE_OCt 24____79.8�_ <br /> ❑ OEPOSIT S W. O. <br /> �ifL�O— No.—_—____ ' '_ <br /> sERv�ceiev.,00ncee�_-202RI.ake_Height�Ds.—Slsiq._H_—s�k._ �or_—_—noo. _ __ <br /> ThL Y{1 u e(/i r Grrc� <br /> OWNER �'�"+��'m+ac1•nwx�tS_ �,CONTRACTOR_.—____—.—__ __ ._ __ <br /> \ <br /> INSTALL�° METERE ERVIGE__— ___ --- _____.____.__ _______ <br /> I IiEflE�Y APPLY FOR THE IlSE OF WATEft IN ACCORDANCE W1TH THE <br /> ORDIN�NCES ANU POLII'IES OF TME WATER �EPARTMEN7 NOW E%ISTING <br /> OR AS SAME MAY BE HEflEAFTER CHANGED. e1GrvED: X �V'�_ ��_ ._J'SC{:��/7_ <br /> MATEPIALS w' V:. 1 IN. I 21N. I PRIGE AMOUNT <br /> PIP'c _ COPPER--GALV.•-STEEL __ _ I _�I_ I __ _ — <br /> CORPORATION � '� I <br /> I '���' __—_'. _ _I ___�— ' — <br /> ' ��� ' ._".__ _"—_ —I—�— _ _._ <br /> ' SERVICE BO% oT PLASTIC C 1_.._.__ I'I_. ___"_ <br /> —•— METER �ALVE <br /> � <br /> — �f_ . _ _ _'—_ ._ — _ <br /> , !�I METER No._�oc ID—_'—. TVPE��C'4S/e� .�� _____ i .._ __.'_—_ _— �--. <br /> � ' METER BOX CONCRETE SMALL LARGE <br /> _ —___ —_ —� — .__ —_ _ <br /> _'— _— ' I —� ._ <br /> v ► _ —__ —I — <br /> I_ — <br /> I �� _--_--�_— � ���— —_—' . ' <br /> i �' � __ . . __—.. _ . .__- __—_ �___.__..—_—_. ,__—.'_-�.—�i—___ --_ II <br /> � f DATE INSTALLED: //_ / y�_ C�s/ I � OFF SUB TUTAL lii <br /> ��,�P� COOE � LABOR AND GpUIPMEN f R[NTAL I HOUPS RAT2 <br /> � Gc`'/Yf�A��f1-/j ----� - - — — <br /> i���l t -I ----- - -------� - - - -- -- <br /> � , <br /> � I <br /> -i - ------ �- ---- - <br /> — a3�o�az -- -- - - -- - j— --- <br /> —i I — - I <br /> _ _ _ i <br /> TOTAL <br /> REMARKS: <br />