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i o� <br />� <br />i APPL. ���� APFLIC.471GN FpR SERVICE SERVICE N� 2153 <br />� No. �� ORDER <br />?��zp CITY QF E�'ERETT WATER DEPT. f� '�� <br />! �iFIXED DATE v /n __19L"__ <br />QC� <br />� � CEPO5:7 ��� W' �' <br />o.— <br />� �� . � � �v,r. <br />� SERVICE (EY ADARE681 � `� � �u� � —BLK. � LO �S�S L \ ADO. ��' • � � <br />I /� � J a � `r <br />� OWNER �' G /'"���C.� c.�Y <br />CON7RACTOR <br />�I �F'LA <br />i INSTALL.�� ETERED SERVICE ---- - -------- 7 — <br />I 1 HEREBY APP'L1�FOR THE USE OF WATER i�� ACCORDANCE WITH TNE �� �/ �'�!' <br />I ORDINANCES AND POLIGES OF THE WATER DF.PAR7MENT NOW E%�STING / � � j / <br />OR AS SAME MpY BE HEREAFTER CHANGED. c�cNeo:Xl./4' u- T-L2-e.� „ ✓D "� <br />r � MATERIAL9 � I�N IN. I^I IN. I 2 IN. I i I I PRICE �I AM NT <br />PIPE <br />CORPORATION <br />CURD COC <br />SERVICE 80X <br />METER VALVE <br />METER No. <br />METER 60X <br />OT <br />PLASTIC <br />CONCRETE <br />� DATE INSTALLED: <br />, COOE � <br />� <br />I REMARKS: <br />GALV. �- STEEL <br />TYPE: � ;4 <br />SMALL LARGE <br />� ON <br />��.�- l � � OFF <br />LA�OR ANDEOUIPMENTR[NTAL <br />/ <br />i I <br />SUB TOTAL <br />HOUIiS � RRTE <br />� _____ I �Q—_ —___ <br />� I V/� <br />� / ) I '7 <br />` /-F— <br />i�i I � ��^ <br />I <br />TOTAL <br />_-___ /�. <br />