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APPL• ��5�� APPLICATION FOR SERVICE SERVICE �° 'I Z 9 � <br /> No„ � - • ORDER <br /> _��,i�,� CITY OF E'/ERETT W'ATER DEPT. - ." � , <br /> FIXED DATE___�_19� `_ <br /> � �L� <br /> � DEPOSIT g ���`. ..- � W.O. -- <br /> / No. <br /> �, �� '„'Jl C\/ ��t-:- < o^_�:� I�`���'.—OLIC. l0 T pD. <br /> SERVICE �oDREs� <br /> + " � i)i� , _ -)—' �.. _--/f��_ _ <br /> owN�./'f�t r, i.�/ �Jr� c_�_i,c_'c'� �r�� ' '!_ ��-�.�� W7'ta� <br /> CONTRACTOR' <br /> 'il�� FLAT . <br /> INSTAU � _MiIiR�D SERVICE_ <br /> I HEREBY APPLY FOR TNE USE OF WATER IN ACCOR�ANLE WITH TH° � � . /' <br /> ORDINANCES AN� POLICIES OF TYE WATER OEPARTMENT NOW EXISTING ��; � � //� � {/ �' �r <br /> OR AS SAME MAY DE HEREAFTER LHANGED. 6�Gr+Eo: XI-!t � r_ l�YivL� "� � <br /> -�`-�: r''- - <br /> MATEPIALS �i IN,� 1 IN. I 2 IN. � I � pp�CE AMOIINT <br /> PIPE �r�COPPE�ALV.--STEEL ' �_� ���� T .�J I�.�� -J <br /> -_-- - I � � '3/ <br /> CORPORATION � � <br /> _' _--i_ � ,/� <br /> � CURB COCK OT ) I %�}-'_1� <br /> � -+ I L I <br /> SERVICE BOX �PLASTIG -. C 1 <br /> )..�-_. - — _ ' <br /> METER VALVE <br /> METER No. __'___ ____ TYPE: _ __I ,g - ----_ � <br /> -_ _ _ —_i_ . _ �� <br /> METER BOX CONCRETE SMFLL LARGE � <br /> �:�r> L 9�' � -- -- II -3L l <br /> - - � -I I -� --��� � <br /> � I - ��-i- <br /> - --- - ----- - � '- <br /> i I <br /> I � � I� I <br /> I � ON <br /> DATE INSTALLEO: . , . � OFF � + SUB TOTAL �� C1� <br /> COOE I Lr10CR ANO EOUIPMENT RENTAL I NOUPS RATC I I <br /> ' ------ ---- - - � I -��� <br /> _ --,- � <br /> - --- � = � �, _�_�-- <br /> -;-- i ,- <br /> - ; ,__-: -- <br /> ���� -- - - ------- J-L- - �i_ i - . <br /> ' - <br /> I I '' <br /> C � TOTAL �. 7� <br /> Ii / <br /> REMARICS: ( L���:> r � - -3� � <br /> —_�� - ��-_—.S��t�. �' � ry —/�_—��! � /� �. /... !• � _ <br /> � <br /> '��� .� � �l ' . . - � �I . / '1 /. �:. . )':. . .. , . �- . ,r. �.J <br /> � i. . � �r <br /> r�• : ' � i � i . . <br /> .. _ _ .a...____� _ _ _ . ____ . _- . . _ . . . .. ( . .._ . . . .. . . . i �. ._ . ,. . . _- .__ . . ._.. <br /> / <br /> • <br /> 1 <br /> o � <br />