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ApP�, ]� /%� /_ APP6ICAT!AN FOR SERVICE SERVICE N� 512 <br />No. � � ORDER, <br />�� J� � � � v CITY OF EYEIiETT WATER DEPT, onre�'�� "`- f �—+9' � <br />� FIXED <br />DEPOSIT s �l �-. `�. �' W.O. <br />/� J �� <br />� _ no.—�_ <br />� � � ,n-a ,v <br />�� �; -=� "f ..,� -; 'y.I� . OLK.�--LOT � � ' ADD. � / C���'..: � _ <br />SERVICEIevs,00n[ee)—_.----�� - � � � <br />� i / /, _ / <br />r ., r /- ��-C�.II %i�"�.d� ="l�. <br />OWNER '-----� ___CONTRA�6R` �— - �- - <br />� � / FLAT <br />INSTAL� J METERED SERVICE -- ----- — --� -- <br />(_�� s�' <br />I HEREBY APPLY FOR THE USE OF W7�TER IN ACCORDANCE WITH THE ,- '�� T>'� / <br />OPOINANCES AND POLIQES OF THE WATER DEPANTMENT NOW E%ISTING �- �� �!� �. (�; ',�-i'S� <br />OR AS SAME M�Y BE HEREAFTER CHANGED. 6IGr+[o: X_,._-=�= -= - — <br />M� RIAL6 �/i IN. 1 IN. i 2 IN� �.I PA� AMOIINT <br />�� J��Ji- <br />p�pE COPPER --�GALV. -- STEEL �' � � <br />CORPORATION <br />�R9 COCK <br />SERVICE BOX <br />METER VALVE <br />METER No. <br />METER BO% <br />� PLASTIC � - C I <br />CONCRETE <br />DATE INSTALLED: • <br />%-. - <br />COOE I <br />RGf•1ARK5: <br />�1�. J_��_// .. <br />TYPE: � ?� <br />SMALL LARGE <br />�� / DiiO <br />I � OM1 <br />Q' OFF <br />_�� � <br />L/.BOq RNO EQUIPMENT RENTAL <br />SUB TOTAL <br />HOUR3� RATE <br />i� <br />l-: <br />/I��l <br />I �� � <br />I �'i ' <br />� <br />--- _- —; , _ — <br />--- -- / - - - , <br />" -__-- —_._ '_"-- _-__- _- � —_TOTAL �I .'�(�<.� � <br />�F'] K.�f(�t%� i. � - __ .._'- ._ _—_ __. _.� <br />__ vy__."---_ <br />