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NOPL�jn �✓�� CITY OF FVERETT ORDERE NO, � I <br /> APPUCATION fOR WATER SERVICE / p� <br /> � FIXED ��D OATE_ �J.�Q__ _ . _ "_IB 1� <br /> � DEP031T s ° W. O. <br /> - No._._._.__-"__'_ -.'_. __ <br /> 9ERVICE (/�r��noe[���sJ o] .�SI1 V _ �-_�E^�(�/�C{)�y(ff^�HLK.._ �LOL.�„3_AOD�iY��, � ,_ <br /> OWNERLr(_,_C_ {,L�y�, ,_ /J� �j �G�G.Ci <br /> . .�t7�G+7[(SL�ONTRACTOR __-_.__________ <br /> 3 y� - — <br /> INSTALL._.r�_ ETERED SER�V�ICE ._ _ . . . ._._ .__...___ _ _ _ _ _ <br /> I HEREBY APPLY FOR TNE I15 TA ER IN ACCONDANCE WITH THE �� <br /> ORUINANCES AND POLICIES OF THE WATER DEPAHTMENT HOW EXISTING ' � /�� /- �� <br /> UR AS SAME MAY BE NEREAFTEfl CNANGED BlcNco: %-L.L. -_y;�...t L ":_ - �y���.��fj,y{` <br /> MATEPIALB 4i IN.� 1 IN. � 2 IN. � ARiCE �MOUNT <br /> PIPE OPPE -GALV.•- STEEL � I <br /> - -_ --- ---- - y- --_ �- --I---.I- . ---- -- <br /> CORPORATION � <br /> "___.. .. __—'__-___— -._ � ,'_ - _-___' _ __'- —.- <br /> CURB COCK OT ___'__� I <br /> __.. .__ __— . ____ . .- .__ ___._ <br /> SERVICE BOX PLASTIC •• C I I � <br /> _- . ___.__-.. _.___-_ -_ <br /> ._ .__-_'. _.___.— _. ._.' _— <br /> METER YALVE � i <br /> -._ -_ _. . .. . _.. _ _ _- — __ _ _ _ . .-. __..__ <br /> METER No. ���9 TYPE,GArL�O/�II ' � _._. _____ __ <br /> _ .. .. -._ .-._. <br /> ... _. .,_�_�. ._ ""� _ <br /> - METER BOXJ C017CRET ���Sr/Gr�_�9MY AL,I�/ LAFGE � ` I <br /> -- . ___—I __ _ .- _"___ <br /> _ .- _. _'___-__ _ _--3.�� ____ _ ....___ -- . . _— __ I ___'. ____ — <br /> - - --- -T- .�r�:. t�r��%�,�y l�- -- �1 I � <br /> -- -- _ ___ _ - - <br /> -- <br /> - -- - -- -- -----�- � <br /> - - -- - <br /> - ----- --- - --_ -- ---�- - - _ _ - - - <br /> � <br /> -- --- - -- - -- _ _ _- - -- --- � -�--� - - - <br /> � ON <br /> OATE INSTALLED: i'J�. � , l .J I J OFF I SUB TOTAL <br /> / / <br /> COD[ I L�BOq ANOEOUIPMENfREHT�L HOUR4 pATE <br /> .. I._.-__ - ..___ _ . . . . _ . _-,�.1"1't..�_ _ -- -� I --C/ � <br /> - - . ... _ _'_- ____' <br /> --- _--- `�� -'.-'-flJstlil—J_ //_ _ -- - - <br /> I <br /> - - ��' - � U <br /> 7 11-- --- <br /> � . <br /> __ _J_ -- -- - <br /> _ - '-----_ __ ���� O_3 _ _ <br /> _i_ <br /> , - -- - <br /> _ ----- - - -- � <br /> -�- - _ -- - <br /> _ ; � - <br /> � � ' � /� TOTAL <br /> REMARKS: !I�I✓ J `I �N� (i�./�i G'L e /7C'('I ' p � C/I l�/'� ! � � <br /> � � ( �/ � !.,i� CC (/ � "�. <br /> � r <br /> ct/Y rfi^e��.i,l. , ' <br /> _---- — -----�,`-�-- <br />