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���3�9q APPLICATION FOF SERVICE SERW E N° � O 3 H <br /> qppL OROE � � � <br /> �.2 Z�� CITY Oy�E 'ERETT WATER DEPi. / + / �i <br /> � � <br /> 7 DATE%� � <br /> FiRF_-D ��t'. 7 �....{ ;'-�-C_ � � ��` <br /> ❑ � �----- `�i�— <br /> ���, (`,1, -_- N . ---- <br /> � oeros�r s _ / ��_ <br /> ( .�r�:%Q� �?�L�L��7-Lil,.�-BLK. LOT-_—RDD. -- � <br /> BERVICE (er Aonnn�)- --- <br /> �NER . --- — _-CONTRACTOR ,---- � <br /> P_�/1![J �� FLAT �' I' l .Clr� �?.tL.BI'J � <br /> ,/ i< ),/'.� c,.- t f ( � -� � l � <br /> INSTALL�_�7---MC�� SERVIQ���/ -�-- : i�—�_— I ; <br /> 1 HEREBY APPLY FOR THE USE OF W�7ER IN TCCOHD�NCE W�TH THE , ������. <br /> ORDIN�NCES �NU pOLICIES OF TNE WATER DEP�RTMENT NOW E%ISTING /" �.� .n_�-�.-• '�ti�___ _._. <br /> e�erveo: X_� - � <br /> OR AS S�ME MAY BE HEREAFTER CHANGED. I pqics AMOUNT <br /> MATERIwL! �i IN. 1 IN. ! 2 1 . i <br /> _ COPPER--GALV.-•STEEL ��_�__ T� �� ' <br /> P�PE II I <br /> CORPORATION ------ I ���I I/)l� <br /> �- � <br /> CURB COCK OT I I 5 <br /> BERVICE BOX PLABTIC -• C � - I <br /> METER VALVE —____.--_-- -. I — — — — ----- -- __ <br /> METER No. TYPE___._ ____._'�' _ __ --- — <br /> METER BOx CONCRETE SMALL LARGE _ _ — � <br /> _ � ; � Lj/ <br /> �. - r, .- �.',� , —+- --� -- ��_ <br /> —i -- �_ <br /> --- - --- —II— � i <br /> I OFF / � � „ j SUB TOTAL 3� , <br /> DATE INS7ALLED: �� I � I �? " ❑ <br /> COD[ LABOR/.ND EOUIPMFNT RENTAL <br /> MOUR• RAT[ <br /> r'"� / <br /> I �� __.__..__. -____- � i I <br /> � '�_�.-_-_"—.___ 1 ,.� I I <br /> I .� .... 1 � � i. "-__ �� r--`�-___-_. <br /> ' C J] � r7 -- — �-__�— � �I ' � � <br /> � Z...-- -- �— � I_ <br /> II --- --- � -'--------- --- I �I� � _ <br /> ----- . .._— -- <br /> li - - ------. <br /> - ------------�-�-- <br /> -------- �� <br /> _� I��- � T='�TAI. O 0.J <br /> .-T--- ... ' �' ., �'i � 1 t�-' '" <br /> REtAARKB ���Y' f J I r f (_ � •. .r. � (��_- . . -�___ �-._ � `___ _--_ <br /> � <br /> - 1__ _ ____� � � <br /> _'__-' <br /> � _�' r'i__ .`.� _ ._ - -- ._�.._.. <br /> -- _ <br /> � ) %..�� �. ' t� . �J � \ _. _..---' .. . _...- --_. . _ <br /> -�---- l_!"..L' . t . ._ <br />� <br />