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Ho y��C��I � r_ITY UF FVERETT BERVICE <br />OROER NQ <br />API I ICA�f II�M FUH WA'EH tiFR`/ICE (� <br />� PI%ED � DA�:;,,�{� X 'f. IB7I _ <br />/ <br />� DEPOSIY 3�0 9 ��J /!�� / �v. U. <br />/ �O /O�/L / �^ S�. No <br />,�/��) u s,' <br />SERVICE cev qaeri. v/ �"'.C�'�ty`��� BLI.. _ .LOT /� noD�`^�r"+{Xi" "� <br />OWNE$/� �' 'J ��{jp��p_�/� _ _ CONTRAGTOR _ _ . / <br />��j� ^ LA7� <br />IN87ALL=J.:,[ .. , TEFED9ERVICE. __ __.__... <br />I HEREBY APPLY FOR 'HE USE OF Wl1'FR �N �CCOn�A,��c : �N TNE /� p9 //////�''' <br />ORDIN�NfES AND PCLICIES OF THE WATC3 DEPARTMENT NOW �EXI]fING .�/j,'�/ I <br />OR AS S�ME VAY BE NERF.APTER CN�NfEI� naHeo:X L"v "l�`��i ._' <br />_.___ IIMERUI! v.._ I ti IN. 1 IN. �] IN. --- PR�Cv AMOUNT <br />� <br />PIPE_. ._ COPPEF. GALV...STtEL I -�"-' <br />_ .. . '-_ _ ._ ... .__ ... <br />COpPORr.TIOM � li <br />. _ . ____._. _"""'___ ____.__.__'-__— .. _ ___.— <br />CL �'9 COCK UT � � <br />SFRVICE BOX PLABTIC CI I <br />MCTER VAL'.E , � <br />. . . .. , _" __'_ -'_ I . .. <br />METER No. TYPE: . . <br />METER BO% COP�CRETE SMALL l 1RGE . __�_ I I— <br />_ _ _ _ - _ - -- - - -- -a - �-��J� �f- - - <br />UATE tNSTALLED: ` Z t/ /�' I �' i OFF <br />( <br />COD[' LA80 ♦tittE011lp♦ NfRENTAL <br />� c--.v � �,i;- �� ., � - --- <br />--- — _ , <br />�'�'9�%/ <br />REMARNS: <br />FUB TOTIL <br />_— HO�inq q�TE <br />S, Te�( '� Nii -- <br />G h�il�.� ' !rk'. <br />���1 k� <br />