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.��2.c�s.z � <br /> � �• '2 'Z� '' CiTV OF EVEHETT BER���%E <br /> APPLICATION FOR WATER SERVICE OROER NO. � <br /> � FIXED DAT���� /3�0/J <br /> � DEPOSIT f �3�L�� w. O. <br /> � IJo.__ <br /> ' _ - <br /> BERVICE uv� nen��..�-I1�-�.._. •� � L.�BLK. ._�___LO��•��J( �j � ' <br /> � �1 .- ) � �/-ADD?.(L!?��/Jv_ __ <br /> OWNE�����.'_-- .�(j/ _ _ .._CON7RACTOR ____-. <br /> p FLAT _ _ __ _ _ <br /> INSTALL�I _METERED SERVICE_ _ . . _, ____ � <br /> .- .-___ ._ ._ ___. _. <br /> I NEREBY Ao+�y� FOR THE USE OF WATER IN ACCORD�NCE WITH 7HE /� <br /> ORDINANCFS AVD POLICIES OF THE W�TER DEPARTMENT NOW E%ISTING ) /� � l� <br /> OR AS SAME MAY BE NEREAFTER CHANGED. �-e^'�C�Cr L / . <br /> - •iar�co: Xlu _ �C-. ,CL�'<-,t <br /> �—MATERI�LB W IN.. 1 111. i 2 IN i <br /> � i PpiGE �MOUNT <br /> _ LV... STEEL I- I � I�r— —� . <br /> P��' . k:�� � ,. COPPER GA <br /> _ _._.. __.__ f . <br /> _—_._ . � _'_'_ <br /> CORPO ION / - ,- . l . - --- <br /> —. ____ ._. _ � . I I i ' <br /> . �.! ___-' _ _ _ _�/ <br /> ' _ __—"__- _ <br /> CURB COCK OT � � --- - --- <br /> _'— _ __-. . � <br /> � �._._.. _ __ . <br /> T i _"_ _ <br /> SERVICE BO% _ PLASTIC 1 C � I - - -�' - ' -� <br /> _ METEq VALVE - --- - -- <br /> METER No. TVPE: � — _- .. <br /> METER BO% _ CONCRETE SMALL LARGE ��� _ � �- <br /> �r-__ ___'_/�. .. . � .I -� '_���- _ -__ _ - <br /> � ____'-- _ � I '- - I ---- � -_ _ <br /> _'—_._ ___. I ' '. ' .__ _ -__ <br /> DATE INSTALLED: ' ' ' ' I ��' �N <br /> f � OFF SUB TOTAL <br /> CODE L1100R ANO EOUIPMENf pLNTGL <br /> —�' — NOUqS p�}�. <br /> —_ " � • �� , ' ' _ .— <br /> --_— _-- _ <br /> i xt Gb /�. � 1; _ J , _ _ _ ' __ i <br /> - . �,y �/��/ _ �� _i.- . ' - --- <br /> , , �_ � _, _ _ _ <br /> — J" l aJ <br /> __". _ _ L. ._ . . <br /> -- TOTAL <br /> REMARNS <br />