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'APPL����. ���jJ APPUQATION FOR SERVICE SERVICE `Vo 'I 2 Z � <br /> PIo. ORDE� , <br /> y, ,,:� r� GTY OF �VERETT WATER DEPT. � ,�.�'_ � ,��% <br /> d F:r.eo <br /> ' �' onTe/� _is L' <br /> DEPO5IT S �,. `� �� �Y.O. <br /> ❑ � _�_ No. <br /> -� _ _;--- �v�� �_�.r;; _ «��r��- <br /> SEF:VICE (ev wooRess) '-" �' � OLI(.—_—LOT ADD. <br /> � <br /> OWNER— `� CONTRACTOR��`� ����J� _ <br /> � FLAT � l/ <br /> INSTALL�MC'�E�EA SER�'ICE— — —/�-�� — —_ <br /> I HEREBY APPLY FOR THE USE OF WF7ER IN ACCOROANCE WITH THE _ .'. �i �. ` �, ` /' <br /> ORDINANCES ANO POLICIES OF THE WATIiR �EPAHTMENT NOW EXISTIIVG � / <br /> OR AS SAME MAY BE HEREAFTER CHANGED. sicri��: X��j�S�i{1'�LLL���zCL.�L<« < < � _ <br /> MATERIAL3 �i IN. 1 �N. I 2 IN. <br /> I__L_'_� � PPI�� nmOV� T <br /> PIPE _ COPPER•_GALV.- STEEL_ _ �I I I I_^ _�II_ 'f I� _) <br /> CORPORATICN �� ,��;_/ <br /> y _.�— _ _ <br /> : CURB COCK �I _ I IL. � ��._«,f_ <br /> SERVICE BOX �P�TIC •. C 1 I �, IL�=�_ <br /> f — <br /> .1ETER VALVE _ _ _ _I_ _' <br /> I_—__ <br /> METER No. ..____'_'_ TYPG: I ;5 __'___ I'_ _ I _. <br /> METER BOX CONCRETE SMALL LAFGE I_ <br /> - - �'9 ," - JC � � - -- - .:.Il�. - <br /> �; <br /> - --i �- - �I- <br /> -- -- I � - -- I <br /> �� � , <br /> � I � CN <br /> OATF. INSTALLE�: y , , + � 'ppp SUO TOTAL � � <br /> % � 1 <br /> CODE I LABOR ANO EOUIPMENT RENTAL HOURS PATE <br /> �I ;' . ., . . ----- I �' -��'`f � �`'"- <br /> --"- -7I i <br /> �_ _ � �__._. <br /> --I ./��, .G iA +,� I==�v -�' Y� � � � <br /> n .0 i <br /> �� I II I✓ <br /> - i -- <br /> ' ---- -- �-- --�- <br /> --�1_t -- -- i � �.J� I � i�;. <br /> I � �7 �/ <br /> �I TOTAL I ��/ 'Y <br /> REMARK�: � r. � .:..^ � a� � �(i --_. <br /> f = - � -----%- --- ---_�"�- - - - -- - __- � - <br /> �, - _ - - - <br /> ,. <br /> , <br /> i' <br /> '' <br /> �� <br /> ,°. <br /> , <br /> . ^ <br />