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��(�5.6 SERVICEn'° 1123 <br /> APP� pPpLICATION FOR SERV;:.'E ORDER i <br /> "�. �^ CI;Y Of�VERETT WATER DEPT. ���� „2�,�19� <br /> �l�A�� /�^ DA �--- <br /> � � <br /> � FIXED �/f� '-L�l�"LG!C�-ll..l�� W. O. <br /> � DEPOSIT s /K/ � . �—.."_—_ _— No._---- <br /> ��� /�CLL'7"LGF�L•/ �`' �LK. LOT_—.—AGD.__ —_ <br /> SERVICE (BY ADOR[881- �— <br /> _CONTRACTO / �J /q� <br /> (V+� �/ 4 FLAT r���7tQLG✓.E�/ � . t1t.J�ttN�-[AQJ �J `�_ <br /> �L�"� nwrere-SERVICE <br /> I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCIi WITH THE n / 1 <br /> ORDINANLES AND POLICIES ^F THE WATER DEPARTMENT NOW EXISTING �. �(��-c�.C/ -- <br /> sicHco: X_�-- <br /> OR AS SAME MAY BE HEREl.FTER CHANGED. --��-- <br /> MATEHIAL6 �i IN. 1 IN. � 2 IN -' i <br /> I VPICE AMOUN�' <br /> I I__� <br /> P�PE COPPER-GALV.-STEEL____ — <br /> -- � II I--. <br /> CORPORATION -- I �I �(�. <br /> UR6 COGK OT l I <br /> I�jD� <br /> SERVICE BOX PLASTI '-- G � — -- <br /> METER VALVE -- <br /> METER No. TYPE: _ I_ 3f' _ -�--' � I <br /> _METEP BOX CONCRETE__ SMAI L LARGE I___�i_ <br /> �__ <br /> --- — -I— � � 'i__ _ II,— <br /> _ � i, -- I_—i_. �— <br /> _ � — � _ <br /> --- ---— — --- -- _-���I_ _ <br /> I I � <br /> �'�— I L7�C~ SUB TOTAL Ff O�/ <br /> DATEINSTALLED: f� OFF <br /> — � I HOUpS HATE <br /> COOE � L�BOR ANO EQLJIPMENi RENT�L � <br /> � _ -_ -�-�-3-- �� ����I ' �- <br /> �- I � <br /> �'S.� - i� �_� �;-`� I" ', <br /> ,� - - � - -'�;� � <br /> � - ----- - --- -� -�� � -- <br /> ! __-- - --------- - -� _ J <br /> - � <br /> I TOT4L .7�'�VJ <br /> — � � �1 / ��_-� � • �� _._�j___� _. <br /> / <br /> REMARKS: � � !�,� r . ._� _•_ ' � � _' /' S <br /> � — � . • � • r (-� , �— __ <br /> 1 � , � .1 � ' -J - - - ---- - -- <br />