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� <br />No�L C/� / �C�� <br />� FIXED �/ <br />� [7EWd1T �ri �� <br />SERVICE 1�r�pneuu `�"-" <br />CITY OF E`JERETT <br />APPLICATION FOR WATER SERVICE <br />INSTAL����.TET�ED SERVICE <br />1 HEREBY A�PLY FOR THE USE OF WATER IN ACCORDANCE WITH TNE � <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW EXISTING <br />OR AS SAME MAY BE XEREAFTER CHANGED, ciaN[o: X.__ <br />PIPE 3 d6O� / M COPPEK •- GALV. •• STEEL LLR �I s IN. <br />CORPORATION <br />UR COCK OT 3�G <br />SERVIGE BOX _ PLA51 <br />�vr �l � �OI� <br />METER No. <br />METER BOX GONCRETE <br />Arl,, n 3 5� ooa 3 <br />.. C I �iQS%Qy � <br />� � i/-e <br />1-�-- - <br />TYPE: I f{ <br />SMALL LARGE <br />DATE INSTALLED: I —yC, —9U I �OFF <br />CODE � � LM1lOp ANDEOUIPM[NfRENTAL <br />� <br />TahK <br />�� 3 <br />06RVICE - <br />ORDER �T� 6575 <br />� , <br />DATE. _ _�p�i <br />W.pO. <br />�ADD. �� <br />� ��11�(f,f(��� <br />PP�CE II �MOUNT <br />SUB TOTAL <br />NOURS � RATE <br />n TOTAL II I <br />REMARKS: A(� FV//')i P 1 Y��t.�'/,'I�:: ! r. (� t'?�i.1if/../ 17�jfi71 �T -�'—J)l-�Illl)L Cc�J?_' <br />