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APPL. / O��+ APPLICATION FOR SERVICE s�ivi E(1�� 5 8 9 <br />No. OF4DER <br />/O�'�C�' C{ Y F EVERETT W�kTER DEPT. DA1 �'��_ �z���/ <br />' � ,� <br />� F(xao/ � jI� 9 , -��-[,�R--�L� 'r` �, <br />DEPJ�l f 5�2G C�f=k! .� WO:�—'—_ '— <br />❑ � <br />% / <br />SERVICE (BV ADORE66) � / ���— �LI(.�_LOT F,DD._ <br />C�WNER - ..-- CONTRACiOR_ <br />�iL�,L �_ FLAT 1 7 / o � �4..ti ' L <br />IM9TAtG_. tAi�ERED SERVICE �-�-.k,h.0-Z4_= �'11P4,'L7 �__' G.�(� . <br />I HEREBY APPLY FOR TNE USE OF WATER IN ACCORDANLE WITH TNE <br />ORDINANLES AND POLICIES OF 7HE WATER DEPARTMENT hOW EXISTING <br />OR AS SAME MAY BE HEREAF7ER CHANGED. i1GNEo:� <br />MATERIAIS ii;N1 I 1 IN.I 21N. � <br />p�pE COPPER -- GALV. -- STE[L U-_ _ <br />CORPORATION <br />CURB COCK <br />SERVICE BOX <br />METER VALVE <br />ME7 ER No. <br />ME7ER BOX <br />OT <br />PLASTIC -- C 1 <br />CONCRETE <br />(' O 7� <br />r^�� <br />O <br />DATEINSTALLED: `J � <br />/ <br />CODE I <br />, <br />,,, <br />TYPE: � '4 <br />SMALL LARGE <br />A� < r �/.,, . <br />/ <br />� oH � <br />�� � � OFF � .. <br />LAHOp AND EOUIP��ENT RENTAL <br />RC-Id/1RK5:. _--__._ _-. - __—___--___._- '. _._" ". <br />PRICE AMOl1N1' <br />. r�` J���' <br />/ SUB TOTAL I �� �'G. <br />I HOUR9 —RATE <br />�� �. ' <br />� /.v " •_�I � %L'_ <br />�L,� � � `-. <br />-���� - ,�;'�_�i=�: <br />�, � � _ -� � ..����, �;-i`. <br />-� <br />, ; �i � - <br />�L' �� � <br />TOTAL I, ('iy I�P__ <br />i' <br />-- ____._..'-_�1 ___. <br />