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i <br /> , <br /> � <br /> ; <br /> ; <br /> ��//77 8HRVICE N„ - - 6392 <br /> APPL. /�jI �. �� CITY OF EVEHETT or+oen <br /> No. �7C /LC/� APPUCATION FOR WATER SERVICE [�_ �( � �Q� � <br /> DATE_--L ���� <br /> �FIXED Q� W � ' <br /> � DE�031T s �� No. — C <br /> �aV�o� ^ <br /> J ' /� �yJ <br /> SERVICE cr AOC11u�) <br /> ��!,���IS� BLK._ LOT ADn. <br /> CONTRACTOR <br /> OWNE ✓� <br /> � �� F � /7c�-�� � � <br /> INSTAL RED BERVIC � , <br /> I NEREBY APPLY FOR THE USE OF WATER IN ACCORD�NCE WITH THE ���\ `4��� � �, <br /> ORDINANCES AND POLICIES OF TNE WATER DEPARTMENT NOW E%ISTING ��GNED: X `�( �. <br /> OP AS S�ME MAY BE HEPEIIFTER CHANGED. pqicE AMOUNT <br /> MATERIALU � IN. 1 IN. � 2 IN. —_I� <br /> P�PE COPPER--GALV.-STEEL � - <br /> CORPORATION I <br /> GURB GOCK �T _ —I <br /> SERVICE BOX PLA9TIC •- C 1 — — <br /> METER VALYE __ -- I — —"— - _ � <br /> K I <br /> METER No. TVPE:_ _ _ ---- -- -- �� <br /> �----�— __- � <br /> METER BOX CONCRETE SMALL LARGE _-- <br /> - I _L <br /> _-�i �--_ <br /> - � �- - ; <br /> �j �-I <br /> ;:,,,,i �t— n�� I °N <br /> DATEINSTALLED: ❑ <br /> OFF l�'l�I/5��� SUB TOTAL <br /> MOUR9 XATE <br /> COOE � LABOR AND EOUIPMEhtFENTAL �. <br /> I — I <br /> I ___ I_— __ I <br /> I — I . <br /> i __ '— �._-- <br /> --i �— <br /> I TOTAL <br /> REMARKS �E` �"_ _�. � '� .7 � '"� __ <br /> 1 i <br /> �i <br /> � <br />