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��� 9 � <br /> AP►L� �CITY DF EVEHETT SERVIC6 � ' ' �+ <br /> No. o� ORDER NO. !. J `: f <br /> APPLICATION FOR WATER SERVICE <br /> � FI%ED DATE���-1Y— <br /> �' W.O. <br /> � OErOlIT 6�3 f_ _ No.-- .— <br /> / �J, 1///_� ��r/' / 3// ���J <br /> SERVICE ur no�n��J ��-s-�%�a�/-_��i����---BLK._J_-._L6T��y ADD. //f�+X�� � <br /> OWNER..� _ t '__�:}s-«� .. ___CONTRACTOR_—.__---—_-. ._—_.__ <br /> // � r <br /> IN6TALL�ijL..—_METERE ERVICE___ - - ��-------- - -- <br /> I NEREBY APVLY fOR TNE USE OF W�TER IN ACCORDANCE WITH THE � <br /> ORDINAN[ES �ND ►OLICIES OF 7HE WATER DEPARTMENi NOW E%I5T'�iG <br /> OR AS S�NE MAY BE NEREAFTER CHANGED. naH[o: % --.. -�. - -- ��- <br /> M�T[111�L/ � IH. � IN. � t IN. � � P111C[ AMOUNT <br /> � I <br /> PIPE i COPPER-- GALV.--STEEL F�� I . <br /> .. -_'_ _ . _— <br /> _..__-__. . -_ . -i_.________'____ __. ._ _ <br /> CORPORATION <br /> _. ._ __ __ - . .__..'_ _ —� __._ . <br /> CURB COC O7 � _� <br /> __ —'- -_�.� ._ _ '.___'__ .___ '_ _ '_ ' __ __ <br /> SERVICE BOX �PLA�TIC� C I _ __ _ _ I __ _ , <br /> _- �� <br /> METER VALVE <br /> ..---___._._ . . . . . . . ___.__ ._ '—'_-.__ . __ . _ .. _ <br /> METER No. TYPE: � �� <br /> _ -__.___ _.. . ____. <br /> METER BOX CONCRETE SMALL LARGE .__ <br /> -- �.� •L,r� 73 _- - �---�-- - _ - - <br /> _ -� <br /> -- - -- -- <br /> - _ ___ _ ___- - - ; i <br /> - ------ -� - --- --- <br /> -- ----- <br /> - - _ _--- ---- - <br /> -- --- <br /> _ , - - ' _ � ---- - -- - <br /> _-_ -. , � I <br /> � ON <br /> DATE INSTALLED: ),. )^ _ )� n OFF <br /> 6UB TOTAL <br /> �ap� I L1100p AND EOUIPM[Hf RENT�L NOUP! R�TE <br /> -I------- _.��_ I- _ � ---..._ <br /> � � ��fl.U.CL�SL-_��e- _-_ <br /> --� ------ _ ` - <br /> —, - —_ ���� =o ���- _�---!-L--- -- -- — <br /> � ____-�--���--��-- ---- - - <br /> ! - ----- �'� �S--- � - - --- -- -- <br /> ------- - <br /> i - --_ -- --- --- --- -- <br /> --�-- --- <br /> TOTAL <br /> REMARK9: ���I C . .. . OIA . � , S�I✓�L[ ..�j P/G___. _ . !t/C. C _CI'�ry�r__ G(� � U (.11 .,� <br /> _ . .._ ____ .. __ .. y1r . _ <br /> S�� e.�e t.�^.�J I �' fu.- at �t✓ S �'r✓�cf , �C/ <br /> r <br />