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i <br />, <br />� . <br />�, <br /> i <br />� . <br /> g <br />�: <br /> i <br /> k <br />� <br /> APPL. /��-�/I��n CITY OF CVERETT SCRVICE �� 622H <br /> ORDER <br /> No. `�` /`j ` qppLICATION FOa '�NATER SEiFVICE <br /> ��� c�, <br /> �FIXED /`� /� DATE— -'_L�s�19 �` <br /> DEPOSIT f �'L.��'�i� No�- <br /> ❑ — <br /> SERVICE wDOnecel �����) ��� " `v�� �� �—ALK._ LOT��ADD� J , <br /> /� ) �1 , � , -�� r. �� � <br /> OWNER ( , � f�I/ ' � � � � �� � �,*�� .� COHTRACTOR � <br /> l:. (� (/ L, <br /> INSTAL��M AERED SERVICE�--7—h����- `1 ----- <br />�� I HEHEBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITN THE � �� � <br /> ORDINANCES AND POLICIES OF rHE WA7ER DEPARTMENT NOW E%ISTING <br /> OR AS SAME MAY BE HEREAFTER CHANGED. aicr+co: X �_--��---- -- <br /> MATERIALfi �( IN. I IN. � 2 IN. I � PRICE AMOUNT <br /> � <br /> PIPE COPPER•- GALV.•-STEEL <br /> _ _ �_ __ — <br /> CORPORATIQIJ � I <br /> CURB COCK CT I I <br /> SERVICE BOX PLASTIC •- G 1 I <br /> METER VAWE _ __ _ <br /> ______ ___— — ---__ _ —.. ..— _ — __— _— <br /> METER No. TYPE: ____I_ A __ __ _ _ _ �i <br /> METER BOX COf:CRETE SMALL LARGE _I__ _ _ � <br /> ——.I—_I—_�— <br /> '_I �_'— _ <br /> --_—_ " _I �— _ — <br /> I <br /> I I I <br /> �7 /y���7 /f ON <br /> DA7E INSTALLED: L �-� p I I � OFF rnL� SUB TOTAL - <br /> GODE I LABOq AN� EOUIPMEI/f RENTAL HOUHS RATE <br /> _�i `�//��(`��� ---- --� <br /> � —--- – I -- -- - - <br /> ' I - <br /> I ------ I — — <br /> --I - ---- ---j---- <br /> i � <br /> TOTAL <br /> REMARKS: ��o� /D - _ _ __ ,_ <br /> I <br />