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APPL. g 7 <br />N o. O� 3 / <br />� rixeo Do <br />� oerosir s�,3S/ <br />SERVICE (ev <br />SERVICE � '° <br />CITY OF E`JERETT ORDER NO. -'�'', �- <br />APPLICATION FOR \NATER SERVICE DAT �/ �B�/ <br />�! — f— <br />� . o. <br />r.o.-- — <br />�// �� (�.�7..�--_BLK..—! LOT_1 � Al���— <br />/-I <br />�' /� .___ ________._._CONTRACTOR__- �----- -- <br />DWNER— -�1Y <br />�� _— —_ __ ----_ <br />INSTALL-/_�.METERED SERVICE_ ---- <br />I HEfiEBY APPLY FOR THE IISE OF WATER IN ACCORO�NCE WIiH THE � �q __ _ <br />OFDINANCES AN� POLICIES OF THE WA7EP DEPAFiMENT NOW E%IS71NG BIGNED: X C�.K1.-� -- --- �— -- - <br />OR AS SAME MAY BE HEREAFTER CHANGED. pp� An�ouNT <br />MATERIALS �N IN. 1 IN. � 2 IM. I I <br />PIPE . __COPPER--GALV.-.STEEL___ ��I I 'I� <br />CORPORATION <br />CURB COCK <br />SERVICE BOX <br />METER VALVE <br />METER No. <br />METER BOX <br />OT <br />PLASTIC -- C I <br />-- -- '— �TYPE: <br />CONCRETE� 5 <br />�'" DA7E INSTAILE�: <br />�� <br />CO�E � _ <br />_ I `S <br />L I.ARGE <br />I � ON <br />� OFF <br />LABOp AND EOUIPMEN! RENTAL <br />5UB TOTAL <br />HOUP5 1 R�TE <br />i � �- <br />REMARKS: • � ' y�l ✓/.p�-� � �'��_3�� ' lr <br />_--� <br />C <br />� <br />� <br />H r <br />�3 � <br />H . <br />� � <br />� <br />C �[�] <br />[ <br />� �.. <br />C � <br />� <br />H 1 <br />�] U� <br />K <br />� �. <br />r. <br />rj <br />� �a <br />v; <br />� <br />t1 <br />c'. <br />r <br />