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AFPL. � / <br />No. %j� ( � CIT�1 OF [VERETT <br />APPLICAI'ION FOR WATER SERVICE <br />SERVICE �i �7 „'] �� <br />ORDER NO. .J �'-; [, ti <br />RI FIXED DATE I�.��__19��»I <br />'f'� <br />� DEPOSIT S 3%�j • �J —r <br />W. O. <br />No. <br />qL�-O �"v �42�-�.� U�Ac,� sw 3D`l�cr� a <br />SERVICE (eV wDopees) , BLK._�LOT4_� qDD.I��rLM �� <br />C, � l � � <br />OWNER__, c'��� CONTRACTOR <br />INSTAU � M TERED SERVIGk <br />1 NEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WI7H THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING <br />OR AS SAME MAY BE HEREAFTER CHANGED. sicN[o: X. C�� � <br />MATERInLS i'� IN. f IN. � 2 IN. � <br />P�PE r"IC(.S _/G COPPER •- GALV. – STEEL IL. I�I <br />CURB COGK OT <br />SERVICE BOX- PLASTIC -- G 1 <br />METER VALVE C G� _ <br />METER No. ��Q/__,,.�la�ypE <br />METER BOX CONCRETE p( �`ST�! <br />DATEINSTALLED: <br />CODE <br />!6 <br />LARGE <br />"�/ '�v V I jJ ONF <br />LABOq �ND EOUIPMENfRE�TAL <br />II <br />PHICE j� AMOUNT <br />SL18 TOTAL <br />HOUfiS � RATE <br />%/ <br />TOTAL <br />REMARKS: <br />