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- w <br /> I <br /> No!'���� APFLiCATION FOR SERVICE SERVICE N° 'I 3 � i II <br /> " - CITY OF EVF.RETT WATER DEPT. oROER � <br /> �/ /'� !1U DATE..�. ! __/� . ._IBTY_ . <br /> C DEPOBIT S_�(,.�_ W. O. <br /> No.____.'___ "_"__ -'__ __.. - - . <br /> r7 � _ <br /> SERVICE r�ooneee����� .Z�._. � �!LF��. _ _. CLK.. __.LOT __.__ADD___._____ <br /> OWNE�C�CL.C-_.��'(,(�/�/J.Sc4'L-. LJ�fV���-�_ CONTRACTUR ._ _. . __.__ _______ <br /> _ _-_-_-_ ._ <br /> �] �' <br /> INSTALL_�._T_�___.METERED BERVICE_ _. . . . __ __. _ . _ . _ � <br /> I HEREBY �PPL.Y FOR THE USE OF W�TER IN ACCORD�NCE WITH THE f � � � <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NCW E%ISTING / � <br /> OR AS S�ME MAY BE HERE�FiER CHANGED. e�cnen: l(� „��Gf__. �._ ,( <br /> MM'ERIALI ��i IN.I 1 IN. 1 IN. PR�Cr 1 N� <br /> _• � __J � <br /> PIPE COPPE�t--GAL V.-- STEF.L i � , <br /> - _'_ — ___— -_'—'I _ _I ____ . <br /> - _ .. . -.- - _-- <br /> CORPORATION , —I <br /> - <br /> _'. . . .-__ -_- .. _.- ____ —I . <br /> -___ <br /> CURB COCK OT _ __ __ _ I <br /> -- —� ---� - --i'� --- <br /> 6ERVICE BOX __ PLASTIC •_C I . I <br /> METER VALVE � <br /> -. ._/__�-/_ . __ . . ._.. — _ - _- �_ _I <br /> _METER No. SI. (O_Z _ . . ... TYPE: �hmi.�T_i �*_ — l . _ 1 —�-_ <br /> . ._ '___. __-' __. . . __ <br /> - L <br /> METER 807( CONCRETELan<.a71�j�.+`MALL L� __ I /_ _ _ — I - <br /> I• — {— <br /> ---��M4���g-._r��P,;�_sa d.0 — - ---� ---�� I <br /> ,� „ , ,; -- <br /> --�'--�— ''�_ �.4/c;_-H� �� s i � � <br /> -- -- — <br /> — — -- ---.. <br /> --�- N--��Z„-a �-•- -�- - � --- --I—� � <br /> I - --- <br /> — �� -L� y�;--e//5---- I i � --- <br /> _ _ -- -- — — - � -- <br /> --- - -�.._ X i--l�<1p{��_s�.�L����v�/.r. i �. _ I I — . I _ _� <br /> --- - <br /> i I I -�- -- --- <br /> �( UN <br /> OATE INSTALLEO: � _ G _7 [� I �I OFF SUB TO7AL I <br /> COD[ I LABOp ANO EOJIPMENfRENTAL I HOUR9 RATE <br /> I L ___.. _ ._ ___._.. _ . / � <br /> ----------------- �l�.a/-r/OG/� I- (�_-- <br /> --! I ��- I'---. _ .. <br /> - � --- ------ �Q!- �i�t� _ _- - -_ . _ � . . � <br /> . . __.._.__. _ . <br /> �-- - - - -- - a _ � <br /> � Z,, - - ---- -- _ <br /> --- - �* .��. �_ _-- ---- - � � _ <br /> , ____ <br /> ------ ; <br /> _ ------ P`-)_�_ - --- - - ---, --- -- <br /> _ ' '_ YGTAL �� <br /> REM'ARKS: <br /> _ __._. . .. __ _ / _ .__ r< �N .h � �II-�For�nce �< fi-✓� . �� �o3T <br /> �`C,/n +� �� � AG/ iD . fa n,r• RN �� n -�J' ��ILCJ <br />