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APPL.' Z � � 6 <br />r, / j ^ C <br />� FI%ED � J <br />� DEPOBIT s /. � . <br />APPLICATION FOR SERVICE <br />CITY OF EV�.RETT WATER DEPT. <br />tlERVICE cer woonc�s�_ � ��� �lF �— --/--BLK.___---��T <br />�� .__._ —CONTRAL70R_----- <br />6ERVICE ��1� � 2`t 3 <br />ORD�,A� <br />j_'� � � /� �s� <br />DATE'__—.-1�.-"-19— <br />N iO <br />NER <br />1 lil.�+.��.:��-FLAT ___—r_f.. I �l i.(ir, -- �,'C'Iw,�: �/ �•�!� .���_� <br />INBi'dtl' y 'M8'K1�lQ� BERVICE— ----�-- �—"---- <br />_�_ _ <br />I HEREBY APPLY FOR THE USE OF WATER IN 11CCORDANCE WITH TH� � �/ <br />�t r��.�_fi�_� <br />ORDAS�SAME MAY BEL�HENE FTER CH NGED.OF.PANTMENT NOW E%ISTING 61GNED <br />-�r <br />PIPE <br />CORPORATION <br />CURB COGK <br />SERVICE BOX <br />METER VALVE <br />METER No. <br />METER BPX <br />MAT6RI�L� <br />�.OPPEFj.•- GALV. - STEEL <br />OT <br />PLABTIC •- C � <br />CONCRETE <br />DATE IN9TALLED: 3 <br />COD[ � <br />I �� -- <br />I <br />_--�� --- <br />= �"" _ 0 _ <br />TYPE: I � <br />BMALL LARGE <br />, I ❑ OFF <br />LASOP AND EqU1PMENfRENTAL <br />' - ----- <br />-- ------- <br />- <br />_ _. <br />- _ - -_ _.. _ _ <br />li IN. I � IN. I� <br />PRICF AA�UNT <br />'7 / � '1i1�! ��. <br />SUB TOTAL � S� � <br />I MOUR! RATH <br />I ,� ,/ <br />_� �- �' - � --- <br />---� - � � i � �i .. � . <br />---L- �=-'L' ' <br />-- � i�� I <br />- i - _�, I <br />�� ✓I� ,�:' I!-�, <br />REMARKS Li 1 � �:.r.aa.. ___.S_��_. i. (.e-CG. F. -�� . J�i�... ' � /J� _. — .. <br />__ '_._ _ _'_ . '- _ <br />�.�, J � � � , � P , � � " 'l � � ' �� f _ ,. -f/;�' :�+�f-- -'l�- <br />� __ _ " _., -/ - � - - - - <br />