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APPL:�'.7T. T �d'� �./ <br /> rvo. ,_- _� CITY�OF cVERETT ORDERL NO. <br /> APP�_IC�ATIOfd FOR V:'l�fER Sf_R\%ICE <br /> �i FIXED DAT��y�.'�_�f�� . __19..:�..�`�� <br /> � OEFOSIT ; �L� � W. O. <br /> __'_'_'___. '_. No.—. <br /> / j _ <br /> ,� ,� / <br /> SERVICE �oY �ooREes)? ���._ � �">'� !"� -�� � BLK L T�n � <br /> • �—__ _' . .__. ___ O t O-i �a,c-sL TL/ .. _ <br /> : i . ir . �� �RD <br /> OWNER-y'_'�._�-e% t� -/ /� i� n . .��r. Y .0 4.�/ <br /> , . IEi/ ._�`2_-_ .._. .I�CONTRACTOR_ ..'__.__. _.._ ._.C;t '/� .-L <br /> -� ' � pIAT'� - ___ _'__-"-. .___-.. _— <br /> INSTAL:�_/��l METERED SERVICE-_ _ _.. _..__________ 4 <br /> _"- --_ i_�.__.___ - <br /> I HEREOY APPLY FOR THE ❑SE OF WATER IN ACCCNDANCE WITN THE � <br /> ORDINANCES AND POLICIES OF THE WATER UEPARTMENT NOW E:(ISTING / <br /> OR AS SAME MAY BE HEflEAF7ER CHANGEO. sicHeo: % C�__ _ _ ,�(�(2L�_ _ <br /> MATEfl1AL5 �i �( IN. 1 IN. i 2 IN. I <br /> I P� AMOUNT <br /> P�PE COPPER-- GALV.-STEEL._ _� � I '� T— <br /> _ ._- _. ___—_—__—__-_- J___. _'_ ._- . � <br /> _ . __- _ -__- <br /> CORPORATION ' I I <br /> _.__--_'__----__-___ <br /> CURB COCK OT.___—_. .__—__ — -�_I_—i____ I .._ .- — <br /> __.._— . _- .. — <br /> SERVICE BOX PLASTIC - C I � <br /> ..-.—___ ._ I —I._ __ _ —. <br /> METER VALVE I <br /> - _... _ _ . . ___._ . ._._ __— _ — _ _. _. _._-- _ _.' _ _ __'- <br /> METER No. _ __. . . _ ..TYf�� . I I I__. , <br /> _..' . . ;__. —�.i-_ . . .. __ ____ ._ - <br /> METER BOX CONCRETE - SMALL LARGE� _ -'�=� !. _ _ - - — <br /> --_ - �.I-� '--i- - - - - <br /> -- _ <br /> ---- -----_ _ i-!-=�-�___ ---_ -= <br /> -- <br /> --, , -� , <br /> ----- ------ <br /> }`;� ON . i . _ _'__- — _ <br /> DATEINSTALLED: OFF SUB TOTAL <br /> (�� 1 '� �% r <br /> CODE , LApOR AND EQUIPMENfRENTAL '�. HOUFS RATE <br /> � <br /> 1,- ' . - {. 'rr • 1 l.' � � <br /> __—_.-._..-__-___-_ <br /> . ._._ _.__. _ . _ . _. . '. _' . _-- _._ , . <br /> ..- . _ _.._� .___. . .__ __-_-.— <br /> _ ',/��/ �l :�i ! �,� � ', � <br /> _. -'__ _ <br /> f- n/ _/f , � �-� �'-� �_- - _ - -- -- <br /> . —�/ / / _ ��� Ni � iJ7.�/°I-_I_ ___ . _ . .- - <br /> -- ---�------------.._ —_.—_._ _—�._. <br /> TJTAL <br /> REMARKS: \ <br /> —__.___ . . _ _ _ <br />