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■ <br />APPL � w_`7'� � APPLICATION FOR SERVICE <br />No. ��f7 CITY OF FVERETT WATER DEPT. <br />� FIXED <br />D_� <br />�roeir s 2 --�� <br />SERVICEf�r�ocrtus)�=-�--t�'-+"�-�n� --BLK._ <br />OWNE � � � .j1JIYI _CONTRACTOR_ <br />d <br />�n�sr� � M�'cT'ERE� SERVIG�- '— <br />i HEREBY•APPLY FOR THE USE OF WATER IN ACCOPDANCE WITH THE / <br />ORDASAS�ME MAY P EL'H E1IFTER C ANGE D DEPARTMENT NOW EXISTING elcNco: XS.. <br />MATEPI�LB li IN. 1 IN. � 2 IN. <br />�P�pE COPPER -- GALV. - STEF_L <br />CORPORATION � �— <br />GURB C�1CK ��� II <br />SERVICE BOX PLA3TIC •- C I I _ <br />METER VI•WE q) -J — <br />METER NO.��JJ_ _—_-TYAE:.C/iw�-I `f' �_.— — <br />METER BOX CONCRETE MAL} AFGE _I� <br />I � rN <br />DA7E INSTALLED: � _ � , 7 ` �"�OFF <br />CODE � LI100R ANO EOUIPMENT RENTAL <br />RE�IARKS: �% n. , o f. � r / <br />' �—'_ - <br />--_��--�1' - ---- <br />� ---- <br />---� - ----- - - - <br />SERVICE �� � Q S d <br />ORDER // <br />DATE�.�~/L^ _19�I <br />\Y. O. <br />� ��� <br />PpICE AMOU��T <br />.g7 I 3� IS� <br />--ll 3 I?S <br />.S /✓�r <br />�� �J <br />,S OS <br />� <br />SUB TOTAL /O4"I �7" <br />NOURB p�TE <br />077 � 13 <br />S S- 2.. 9_ <br />�—_ 5��7,2 ��=% <br />_�— � � ��-> � ,-�-, .. <br />��_�. <br />�f— -LY ° �'.--G ' � � <br />L_. 3,.��J'__3 i5a <br />�__ �,Sa ;!_ 3 �.So <br />J �-' °�� � �/ <br />��,� �� <br />. 'r � <br />� <br />