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, <br /> No���� CIfY OFfVERETT s¢nvice � � I <br /> ORDER r.o. <br /> APPLICATION FOR WATER SERVICE [� <br /> + DATE__l �5--1 B� <br /> � FIXED <br /> � DEPOSIT s��• � ryp�_ -__ <br /> Sfz hl'{�.� / - ^ � <br /> SERVICE (�v weon[������� `�N��7�r� -OLK.- LOT_ KEADD.S� RlC� /�� <br /> ' ' ` T�rs <br /> � W/Y� � SM��I"'N _CONTRACTOR <br /> OWNER_-• -__ — ---_ <br /> i� F <br /> INSTAL � MET ' SERVI - yy////��-- <br /> �- � <br /> I HEREBY APPLY fON THE LIS[�} IN ALCORDANC'E WITH THE ����� - <br /> ORDINANCES AND POLILIES OF THE WATER �EPAHTMENT NOW E%ISTING <br /> OR AS S�ME MAY BE HEREAFTER CHANGED. slcrvcp� X ----- <br /> MATERUL6 �' ���I � ��• I � ��" I ' � PA�CE AMOUNT <br /> PIPE _ _OPPER� GALV.-� STEEL _ _ �� I I — <br /> CORPORATION _ __ �� - - <br /> CURB COCK OT I �I <br /> SERVICE BOX PLASTIC -- C 1 ( —. <br /> METER VAWE —. -.__ _ _ ____--_._-_- _-L --�� ____ _- - <br /> METER No. 30�5 ._�__ .__ 7YPE� /IPGJ/dd�lf_���� �.- -- -_ — <br /> /v � <br /> METER BO% CONCRETE SMALL LARGE ___ __ <br /> - �,/ �.__'__- .__- _� I I � <br /> / �7._ d%.�'�L _ — <br /> �,�a/��— ��/l*1J_C��P/_<%'�J�� --I ��— — <br /> h2cicd'/f�a �s�z � �—�— - — <br /> /y 3/�����Te/i_S'%u�ak l I � � <br /> - __ - - �--, --�--�_� - - <br /> � i �- I , <br /> Q.SJN <br /> OATE INSTALLED: I � OFF � j SUB TOTAI_ <br /> /�-/-77 � � <br /> COOE <br /> I L�BOP AND EOUIPMENT RFNTwI � MOUR! R�TE <br /> � -- ---- - - -�P�I—�- <br /> ---I ------ - -- T / � �� -- -- <br /> ' �/ ��/f �YlCF �lGll�L'+3'1��CII 7— --- <br /> `_-- -_vS__---- -- <br /> —� _ _ _ �.a/� --�'-Z-- — <br /> ----- - -- � <br /> _II— �-- -----— <br /> __. .- — <br /> ----- - - - � i <br /> � TOTAL <br /> REMARKS: i � ' ' !'i'4 / r '�- ` ' 1 .r . �� ', .� ._-. .. . _ _ .. _. -_'_ <br /> �'/ -'-_. � - __ , ' . . �_ _. . _ _ . <br /> __ - _ _.l� I .,i , _ <br /> , :i , , --____-_—_'__-__ <br />