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APPL. /)��� CITY OF EVEHETT <br />No. � 7 <br />APPLICATION FOR WATER SERVICE <br />�{ FIXED � ,���� <br />0 oEPo,�T: /o � �� TO POSTING �3—f �`" <br />SERVICE (w wDDeu�)��_• rL �/ / �� BLK.__ <br />INSTAL� �y ,�METEREG�SERVICE—.--- � <br />I HEREBY APPLY FOR THE USE OF WATER IN ACCORDANGE WITH THE r <br />ORDINAHCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING <br />OR AS S�ME MAY BE HEREAFTER CHANGED. sicHeo:X .. .41�/� <br />MATEP�Rl6 Y� IN. 1 IN. � 2 IN. <br />PIPE COPPER - GALV. -- STEEL �I�I <br />CORPORATION _ <br />CURB COCK OT ___ <br />SERVICE BOX PLASTIC -- C I <br />IAETER VALVE _ _ _ _ <br />METER No.. ��S �-yOLO ___ TVPE:Nt���uNG IC <br />METER BOX CONCRETE _ SMALL LARGE <br />DATE INSTALLED: <br />CODE � <br />� <br />REMARKS`C ,A�Q� � ��� <br />�l / <br />/i�lO,Lli! J �-� <br />� � ON <br />� � OFF <br />LABOR AND EOl11PMEN f PENTAL <br />-- ------ - - �SLAGTIUL(_- <br />-- --.. w;u be _lnken�nsewi� <br />ipplications without a <br />�yo-lly'-1v��1-��� <br />ORDER � N� 7 U L IJ <br />DATE—.�d� ___ 19.� <br />�,,. o. <br />No. _____ <br />�T 3—Aoo. <br />�' -_ <br />PRICE il AMOUNT <br />.I =.-__I__._ � <br />.,I —I_____ ___— <br />' <br />SUB TOTAL <br />NOIJRS I RATE <br />TOTAL <br />