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� � ro <br /> b � � <br /> C N <br /> b H N <br /> r <br /> H H <br /> K n <br /> O � O <br /> � N M <br /> � Z � <br /> O M � (' <br /> � � o� APPL. `1C CITY OF [VERETT SERVICE fJo 6641 I <br /> � �3 orxoER <br /> � .'� n No. APPLICATION FOH �vATER SERVICE ^1 C I <br /> H � �� 1 .__.79.__ <br /> 2 �„� DATE_._ � <br /> �i � x � FIXED �„y1 W � I <br /> UEPOSIT s � '� No.._ _ <br /> __'___ '_ _ '-_ ' _ ' '- � :. <br /> Q O N � r <br /> . �-i <br /> 1�1� ����L ���._BLK..____._LOT_-�_ _ ADD. 1_�� <br /> � c�cr — - -- � <br /> t*1 SERVICE (BV A00 EBe)_- �� <br /> � O N ���^�^l1�V7� �'_-_ . <br /> OWNER- L1 7 e_ ____GONTRACTOR_ --.--------- <br /> - - — � 7J32� _ _ -- -- -- <br /> INSTAL�M TERED SERVICE NG- ------- - � - � <br /> � HEREBY APPLY FOR THE USE OF WATER IN ACCOFDANCE WITH THE �� <br /> ORDINANCES AND POLICIES OF THE WATER DEPAflTMENT NOW E%ISTIN. g�cneo: % -�--- ', - - - � -- � -"'� - <br /> OR AS 5,1ME MAY BE MEfiEAFTER CHANGED <br /> cE � ou <br /> MATERIAlS I � �N � IN 2 IN I <br /> PIPE COPPER-- GALV.-- STEEL ��._._ .. ' _.___. . _'-----. --- — <br /> CORPORATION _----_-_.-�_._ _ '_— -I_---I-__' .__'_ ._� _"___ — <br /> CURB COGK OT _ ___- -� -- - �- ----- -- �-� <br /> SERVICE BOX PLASTIC -- C � I �(�� ---- ---� � <br /> _ -____. <br /> . __ '__._ _- - I ___ . __._- <br /> .. . W7ETER VALVE _ .. � - . . ..- - --- <br /> ,� . . . - _ _ _--- - <br /> � ', _ ___ . . -- <br /> I '_�I' . . TYPE: I �� . <br /> METER No. —I -... -...._. .--� � <br /> � � � SMALL LARGE <br /> METER BOX CONCRETE _ . _ ---- -�� '�-'- - <br /> ___ ' <br /> . . .__.-�-- <br /> __— - � <br /> _—_ - '______-_'---_- ._-._. <br /> ___- <br /> ___. I '-_ . _ _ _ _-_ - ! <br /> ��i -- � <br /> I I '_ _ _._."'-__ -_' _-. i <br /> ___--_� -_' <br /> .�_ .-_'_ . _— i , <br /> , �'-_'_-'_ _-_'_... .__ -_ <br /> _ - -- ----�-_i �,- !- - -- . - -- I <br /> - <br /> - . � I <br /> 11 i _ _ <br /> - -' -__ __ _-- - --- <br /> i �� --- — -------- — —-- _ _- -- <br /> nJ ON <br /> �� SUB TOTAL <br /> DATE INSTALL[D: �� •� _./7 J r OFF <br /> '7 ' <br /> '='=, '�. HOURS R�T[ <br /> ��� LApOR �ND EOUIPMENfPENTAL <br /> � �'IL �� — -- —I-- _ ___ . -- -- i <br /> , --- — <br /> — —__---- — -- ------- — — _-- ---- — <br /> ' �(4 I ��---- - - - -- <br /> I ---- --- - ---_ _ _--- <br /> --- - i <br /> -- — <br /> I _._ - --- -- ---- <br /> -- <br /> '� --- -------------- � <br /> � -_ <br /> ��_� -�- -- -- ---- <br /> -- '- --- -- -- - _ <br /> - - - - � <br /> i <br /> -- TOTAL <br /> REMARKS: . °GL ��.i'�S/ . _ . _ .. _ _-_ __ __. . ._._ <br /> . ._..__"___ _ _ .__. <br /> _—____' -- . _' _ I <br /> i <br />