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- <br /> i <br /> i <br /> i <br /> � <br /> I <br /> APPL. �-7 <br /> NO C� /U I � CI7'/ OF cVERETT $ERVICE <br /> ORDER <br /> APPUCATIGN F,�q WqTER SFf1VICE r,o� � <br /> � FU(ED � DATE_._.__ . <br /> IO <br /> � CEP061T s �-� <br /> W.O. <br /> �.,�yJ, No._ __ _. _ -__ <br /> sERVICE ��r �cuews�-��-� . IV_l._'__I-�.��__ / _ - -_ _ . <br /> / ' ..--.BLK. __-.__LOT �__ADD..ry�vII�CS(,C{/.> <br /> OWNlR_L.�J���� �/�w7/ <br /> „ , " L . ._ .__ _ __ _______CONTRACTOR___._L�77/_! 6�_ . - - ._ _ _. _ <br /> INSTAL� ��� � � <br /> �—ME7EHED SERVICE-._ <br /> . . _- -_.—_____ <br /> __'_ __ . __ .. _. <br /> _ I HEREBY APPLY FOR TNE USE Of W�TER IN ACCORDANC�: WITH T��E e1ONEo: X J_y�-A ��/�-T ap-�� _ <br /> ORUINANCES AND POI.IfIES OF THE W11TEN DEPARTMENT NUW EllISTIyG <br /> OR AS SAME MAY BE MEREAFTER CH�NGEL <br /> w�rcni��s � <br /> �-�� W Ifl.I 1 !q�� = IN. PPICE � ♦MOUNT <br /> �� ` <br /> P�PE GOFPER GALV.-. STLEL ---I � <br /> .-__-_ '. _ _ -_. <br /> . . _. _ '_."-__ . <br /> ___ <br /> CORPORATION I --- - -— <br /> _—_— ____ I I <br /> CURB COCK OT ._._.—_ . __� --_ __--__ -._—_ —. _ _._J __ _ _ __ <br /> _SENVICE BO% . _ _ PLA9TIC .. C I I � � -��- --- <br /> METER VALVE � ��---- ----� �- - .. -- --- <br /> METER No._ . _. .._ . - � TVPE�. I y _.._. <br /> METER BOX CJNCRETE SMALL LARGE _ � � � <br /> —__.__._ ___. _ . - i _ I ' __ - �- i <br /> __ .- _. _.._ _ _._. ._ _. I - I �1__ -_'_ . <br /> I _- _ _ <br /> ___ �.. <br /> -- __'___ " -._'._. _. . I � <br /> . ..._—____ <br /> . ' --_ .__ _"_ __. <br /> _ _ -_ ' _._ __ <br /> _'_— i I <br /> — _ . . __. ._ ' _ _._ <br /> i - '__I 'I. . ___i _- _ '_' _— . <br /> I ON <br /> DATEIN3TALLEO: � � OFF 5UB TOTAL <br /> .�" I � �) <br /> C�'�� I LABUp ANO EOUIpMENf�pENTAL � NOUq� pATE <br /> �--;-Q��2y � 1_ _ ��,IJ�',��,�,'-- ' <br /> ----- --- <br /> _ -_ _-- � <br /> -- -- <br /> __ ----- _,_ - <br /> -- -- ----- � <br /> --'--- -- - - ----i- - - - - <br /> ---'-- --_ _ _ i- - - - <br /> _ <br /> , - <br /> _ - -�- -- <br /> TOTAL <br /> REMARY.9: <br />