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APPL. � � %UGj � CITV OF tVERETT s� �,�� � Np � � 2 O <br /> No. / OROER <br /> APPUCATION FOR WATER SERVI ����� D�TE IJ�����- --�p-- <br /> �fIXED <br /> � oE�os�T s_1�15_ T� FOSTING ;z- Z� 9�� W.a. _ - - -- <br /> No._-' __ <br /> SERVICE I�Y wD�UI_- C.f-;/ Z . I���1�-�-v�—BLN. - ' -_.LOT_. . - _AD0.. - _ <br /> OWNER�J-l�f�-�44ti__Cy/ZQ.L- ' - _ . . . _.CONTRACTOfl. _._ __- _ ._- _ _ __ - ' - <br /> '�/� ✓FLA��E��RVICF__ . . .. . <br /> INBTALL=J — ___ . __-_.__ _ -_ . . __ _.__ <br /> 1 NEREBY APPLY i0R THE USE OF WATER IN ACCORDANf.E WITN 7HE <br /> pqD SAS�ME M�Y BELIHERE/�FTER C ANGEUOEPARTMENT NOW fllISTING �Icr�[u: � - <br /> M6TERI�L{ W IN.� 1 IN. f IN. _ PRIC[ J •MOUNT <br /> ___ r l <br /> P�pE COPPFR-� GALV. •- STEEL I . __ <br /> -_'_' __ ._. _ __ - _ _ 'I -_ _f_.____ . <br /> CORPORATION _ - - � ---'I� ---- <br /> ._ _ <br /> CURB COCK OT _ _.___ . _ __ -.__ — ---• ' - <br /> __ .. . . .. . _ _ _ �. . <br /> BERVIf.E BOX PLASTIC .. C I _____I._ I -- <br /> METER VALVE � � i — - I - <br /> METER No._/ � �G v TVPE ��.�/GINf � � --- � <br /> METER BOX_ CONCHETE SMALL LAAGE __I _I _ _ ___ <br /> , � _ ._L�._ — <br /> ___- _ _ ' . I� I <br /> __ _i �_ — <br /> .-1. __'-�___—_—_ .-_ __ _._ <br /> � _ _. __. . _-__—_— �I �—•i-_ <br /> -- . _ . I . . � ' ' ._ _ -�_ <br /> - � _._____ . - _ . . - _ _— <br /> _--'___"____ . . _... ._ . I . <br /> I ' ON <br /> rl OFF SUB TOTAL <br /> DATE INSTALLED�. /� � ��./ _ <br /> Y <br /> L�0011 �MO EOl1iPMEHf PCNT�L HOURf R�iE <br /> cooc <br /> _._�yn�/-� _ - - - — <br /> NO ACTION — <br /> --� wdl be taken on �eroice --- <br /> _ _ _ <br /> ------�- �� a{�dicvtiqns w!thOl71 a-_.'_--- - <br /> — <br /> — — Backflow Preverdbn Consultatidn . <br /> �� TOTAL <br /> REMARKS: �E!LW��� �S.'�v . -_ . . f <br />