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4938G APPLICATION FOR SERVICE <br />No.O. <br />CITY ERETT WATER DEPT <br />FIXED <br />❑ DEPOSIT y ^ 1 • <br />SERVICE (BY ADDRESS) <br />E <br />g_V <br />CONT <br />I <br />/teIi t-C� FLAT/Jf2 <br />y M27eftM SERVICE_.____ <br />AC' <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE <br />ORDINANCES AND POLICIES OF THE WATER DEPARTMENT <br />OR AS SAME MAY BE HEREAFTER CHANGED. <br />NOW EXISTING <br />SIGNED: <br />MATERIALS <br />IN. 1 IN, <br />PIPE COPPER)-- GALV. -• STEEL <br />I <br />CORPORATION <br />CURB COCK OT7`_ <br />_ <br />/ <br />SERVICE BOX .ELASTIC)- C I <br />METER VALVE <br />METER No. TYPE:___ <br />I <br />METER BOX CONCRETE SMALL <br />_M <br />LARGE <br />I_ <br />DATE INSTALLED: I ❑ .. <br />OFF <br />CODE ILABOR AND EOUIRMENT RENTAL <br />_ I � <br />1 q2 <br />REMARKS: <br />5 <br />SERVICE N0 3 5 5 <br />ORDER <br />DATE �__� g�J <br />W. 0. <br />No. <br />PRICE n AMOUNT <br />SUB TOTAL <br />HOURS R4TE <br />