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APPL,' I3�„�¢� APPLICATION FOR SEP'"'^•E <br />"°. CITY O,R�YERETT W � Ek OEPT. <br />/3�"'c�`5 �/ / <br />� FIXED � ( �t�'-2'L�'�`--� <br />� DEPO5IT s /CL��. G=�f �� � <br />✓/ <br />Z��'LL� Z� 6LK. LOT <br />SERVICE tev nnortEss�-- <br />_CONTRACTOR-- <br />�W N ER---- <br />�p�(f �/,/ FLAT SERVICE__----- <br />MI�ThtL � —�ff <br />I HFREBY APPLY FOR THE U'F OF WATER IN ACCORDAKCE WITH THE <br />ORDINANCES �ND POLICIES OF THE WATER DEPAPTME47 NOW EXISTING 6V.NEO�C��"'�p�� <br />OR AS S�ME MAY BE HEREAFTER CHANGED �y <br />�� MATEF1.1L5 I IN ���' T.-�i <br />PIPE <br />CORPORATION <br />�---��—i <br />�CURB COCK <br />'SERVICE BOX <br />METER VALVE <br />METER No. <br />METER BOX <br />GALV. •- STEEL <br />GI <br />__—_--TMPE: I `. <br />CONCRETE SMALL LARGE <br />N// � i� <br />I � ON <br />DA7EINSTALLED: /U����� � �FF -- <br />COOE I LABOR ANO EOUIPIAENT RENTAI <br />I--��-�� --- <br />� <br />-- -� - ------'�-U��� <br />'� --,��-�'-70 � ------- <br />I._—.—. .--__—__ __'.—'__'___. '_'_ <br />ii <br />FEMARKS: �' � i _ <br />SERVICE Na 2 g $ <br />ORD/E/$,�� / <br />DAl'E_ � �` �—� e� <br />W. O. <br />I.MOUNT <br />SUB TOTAL �7 <br />HOUR5� RAIG <br />�s � <br />��_ .-�.�� <br />�� � <br />� ' - <br />; 2' 3.sni� '7� <. <br />-- - � --- - � <br />, �� <br />_..____—_ __._— TOTAL �I�I �I� <br />_/-_I /, h �-�f — �. _—__—.—__— _ _ . _. _ _ _ __ __ ' '____ ,_'—_ _ <br />'_'. . ._ . . �.. _ . "_._ <br />