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. <br /> i <br /> . , � <br /> APP�' � f� �/`1� APPLICATION FOR SERVICE SE:HVICEN� � 9 5 <br /> No. <br /> /� � �'� GTY OF,�VERETT WATER DEPT. ORD / /� , <br /> � ��ED /� /� J(/� / � , <br /> � /// ' \_`--f�...l-Z.1 /Z~-��� OAT _/ ���C��/ 18.'� <br /> �l DEPO5IT s O ` ,�'L! �-1 � ' <br /> W.F!: <br /> . _ __'__ _ � No.'__-___'-' <br /> .___'__.__ ' <br /> l s <br /> $ERVICE IBY ADOPE98L_ ��_�✓1_`�, ' -� <br /> _'_�I Y .. ___l07_ __-. ADD.____-___'__ <br /> WNER_ I <br /> r R / � -- - - - � - -- - CONTRAC70R <br /> , �.'L'I.CG'� c��L FLAT / � � /��7 --- '- - --� ' <br /> �-.J-__MGKAiD SERVICE �'�-^ i�Y �^_t-C/.I CI. - / YC✓-tI .C.�,� �L�/M�L II <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WI7H THE� �/J,7 -_�-ry� � /�/,�j�....� <br /> ORDIHANCES ANO POLICIES OF THE WATER DEPARTMENi NOW E%ISTING /"' u'�""�� 4f����l�---.lL�' <br /> OR AS SAME MAY BE HERE�FTER CHANGEO BIcn�F�: %_ _. . � <br /> � •�iTCRIn.B ?i IN. 1 IN. I g IN. ( I PpICE IMOUNT <br /> PIPE OPP['n' GALV. -- STEEL S'� J l I-�� <br /> - -�-- �--- ------�---�--- _--�-- <br /> CORPORATION I --1 ��- <br /> ------- -------- -- L --� ��- --�� �I <br /> - ---- --- - <br /> ��CURBCOGK � p� I - <br /> 3ERVICE DOX __ .. '�PLA57�-_C 1 '_______ _ — <br /> ����!� <br /> METER VALVE I— �--'�O� <br /> --_-_ ..—_. __- <br /> .._ __. .__'_"-_ -'__. ._'�__-'_ _-- <br /> _'___ _ "_ __' <br /> _ METER No.__ . _. ._ . TYPE: ;6 ___-- -____ _ _ _' <br /> _.- _.__ _-_-_. ____._ .__ __._— _.-_ _ __ _—_. __ _.___._ ___... <br /> METER DOX CONCRETE _._SMALL LARGE __ _I II ' <br /> _- -_-Q.� � — -__ __' I� /I� <br /> - - T �- � L '� / '33 <br /> -- -; -- --- � I <br /> -- - I- - -- -- - �I_ <br /> -- - ---- --- --- I - -- -- <br /> ---I --I--1- j-1 <br /> ���6N <br /> �ATE IN57'ALLED: OFF 5UB T'iTnL /� �iC/ <br /> 7 -��, �'-1 ��' ❑ /'�„l_• , t ✓io <br /> CODE I ` ----- �/BOR ANO EOUIPMENT 1lENTAL — — --- HTUR� qST� � ' � <br /> `—�i� a� <br /> I —__ I�_ ��_ I <br /> i')'� , j ___ � <br /> �4_.... _�____'�' �, ___. <br /> —_ � - - �_ lC�� _ � <br /> _ _�-- --- � <br /> --- -----I --- <br /> -_ _. <br /> ---- --- - - -_ _ - ___- — --- � <br /> ------- -'-- <br /> _ ----- <br /> --- --- - <br /> - -_ _ - <br /> --_ _ <br /> I _ .__ _ <br /> _ I _ - - I!- <br /> — _ roTn� �(I g�g,� <br /> REMARKS: <br /> _'_'—'. ._ . .. �JI <br /> _ _ _ _ __ .._ __ -- ----�� 1 <br />