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, 20 � _ . <br /> MPL. 'J f� � �-� �.pPLiCATION iOR SE0.VICE scaviccN�� 1634 <br /> No. l/�� ORDF_� <br /> CITY OF �VERETT WATER DEPT. <br /> �ED DATE�z_-�__,0 7"y <br /> ❑ oEronT , /?5..� Wo. <br /> NU._ _ __ <br /> S[RVIC[ I�vwoo/eu- q�/��/ Q ?_��(G/L/.��BLK.I=LOT�JIOD��ie lyrresQ� <br /> OWNER ( �i /'"C , , �/%Sl�A/ CONTRACTOR_ �/q/�!� <br /> '��� FLAT <br /> INSTAL M�p fERVIC� <br /> 1 MEREBY APfLY FOII TNE US[ OF WATER IN ACCORUANCE WITH THE <br /> ORDINANCES AND ►OLICIES OF TNE WATFR DtP11pTMENT NOW EIfISTING � �/ <br /> OR AS 3�ML M�IY BE NERE�FT[R CHIINGED. •icH[o:X. _L_JL_ =(c�,_,.,,_ _ <br /> � M�T[I11AL� y� IH. 1 IN. � i IH. I 1 PRICf. (� AIWUNT <br /> PIPE ' CO�PER 1 f.ALV.-STEEL 3 <br /> / ";f- <br /> CORPORATION <br /> CURs COCK OT I <br /> SERVICE �OX (PLABTIC� -• C I I <br /> MfTER VALVE <br /> M[TER No. TYPE: --��_ f{ --- ---- --- —��----_ <br /> M[TER SO% CONCR[TE HMALL LARGE <br /> � _— _ — <br /> � <br /> - �,�3�--�. J � - - - - - <br /> — ---�— z —�— i— — <br /> - - --�-`� -�-� ' - <br /> - ----- -- i - - <br /> - -, i-�-�- -- <br /> �-� oN <br /> OATE INSTALLEO:�j ��, y�FF SUB TOTAL <br /> L - <br /> COpE I LABOR ANO EOIIIPMEN!PENTGL � I HOURS RAT[ <br /> --�''�-c'y ----- . — ---II-- �--- --- <br /> —.--- —�_ <br /> — -p--- -------- <br /> — — ._ - -- --- ---- <br /> ---_;��-�� ----- � <br /> - --------- -- -- <br /> -- - - --- <br /> --- -- -���--- --- -- - - <br /> - -- --�-� --- - -- <br /> ----r�f�-- - - - - ---- ---- - __ =- - - - - <br /> TOTAL <br /> / ' <br /> K5: � <br /> � � l . . . . , , '_, <br /> - - R -�,-f - - <br /> - . - - -- - -- - <br /> , -. ,�� ,. - ;. _ <br />