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�� ...��. <br /> � <br /> � <br /> ! <br /> y <br /> � <br /> ( �� <br /> I I <br /> I NOP��� CITY OF cVERETT seRvice - � - <br /> I ORDER NO. .� . �_ <br /> APPLICATION FOR N�ATER SGR'vICF �� <br /> �PIxED DATE_��_�9� <br /> � DEP09�IT i (��' GU W. O. , <br /> No. <br /> LS Z4'tb.l F,.{ S � u��v� r7—zFr-,� . <br /> SERVICE (pywncput) BLK..--LOT O.—_ <br /> � OK'NER�^���C�!U�.�Zf — _GONTRACTOR__ _� <br /> c / <br /> INSYALIr`� ETERED SERViC � <br /> I HEREBY APPLY FOR THE US �OF'IIRTElf�T�ACCORDANCE WI7H THE <br /> ORDINANCES AND POLICIES pF THE WATER DEPARTMENT NOW EXISTING <br /> OR AS SAME MAY 9E HEREIIFTER CHANGED. eicr+eu: , ___ <br /> _ MATERIALB � IN. t IN. � 2 IN.�— � PRIC AMOUNT <br /> F'�PE CGPPER-- GALV.-STEEI. _� <br /> ---_ ___—__. __I_—� — � <br /> :ORPORATION .__ _ _I_— I <br /> i —� __ __ <br /> CUR6 COCK OT � <br /> SERVICE RqX� PLASTIC -- C I _ _I I <br /> METER VAWE � <br /> METER No. 7YPE: I ?f � r <br /> METF.R BOX CONCRETE SMALL LARGE <br /> — ____ �—I —��_ _ — <br /> -- - -�-�-1� - <br /> _ --- ---- - --� -�-- <br /> I I i - <br /> �=�h <br /> DATE INSTALLEDr � �- � - � j I � OFF SUB TOT:.i <br /> COOE � LABOq ANDEOU�PMENfRENTAL I HOUR9 qATE <br /> �I _ __ —" __�'��_I' / . <br /> � %i� :,c c_ I�_ <br /> -'- --��� -- - <br /> J# �1 � <br /> 7 ^'_ _—I_..�_. _'__ <br /> I '��._.--_. _ <br /> I � <br /> _� _ .—___—__._—_____ <br /> I __"_—__"I _— _ <br /> _I _—'_ 'I —_'— ____ _ <br /> __I __ —_. _—_ — '"_—_ I _' _ <br /> TOTAL <br /> REMARKS: �Gi�� � ,� <br /> � <br />. . .. . . . . . ___ _ _ ia�:_.�_ . <br />