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NOPL �'� 3—�"'�-� CITY OF FVERETT sEnvicE -� <br />ORDER NO. <br />APPLICATION FOH IVF�TEH ;;L4tVICC_ ���� � <br />� FIXED �"UW�'� ��- - � � ��� <br />Jj <br />`� OEPOSIT: ��Q No�� ._ <br />3 . �;� � ,� <br />,� ,- � � , <br />BERYICE ISYAOORE� )_�j_ _ � �fs__�.-CS<_,_lG.�.BLK. _ _ ..LOT v�?__ / ��- <br />/ � --- � <br />�/ • � � /.� <br />OWNER _ __ ,t,!= � � �� . ����� _ _ �%'7L� ,. _ CONTRACTOR . <br />, _ _. _ _ ' ._ -. _ _. __ _ . <br />INSTALL.�_— _M� ED 5: RVIGE_. _ _ . ._ . . . . _ _ <br />I HEREBY APPLY FOR THE USE OF W�TER IN ACCOF�ANCE WITH THE � <br />OpDINANCES AND POUCIES OF iNE W�TER DEPARTMENT NOW E%ISTING �t �. (,.C- <br />OR AS SAME M�Y BE HEREAFTER CMANGEU elcH <br />_ A�TERIALB . IG IN.I 1 IN. 2 N. J � '� _ PR� ANOUNT <br />PIPE COPPER �- GALV. - STEEL �� ' <br />_-_ .__... . ... _.___"__ _. _. _ .. ___—'.I ...�_'______.L__ .. .. . ..�_ -____'-__ <br />CORPORATION I <br />_- ___--_..____ . __ . _ .. . .. __— ' — i. . <br />GURB COCH OT I <br />. ___ - . . . . . . .. .. . . ._'_-' ' ___-'_` " _ _ _ .: _. .. .. _ . <br />SERVICE BUX PLASTIC �� C I I <br />__. __. . _ __ '_ __ — . . <br />METER VALVE _ _ ___ _ _�� �� _�_ <br />METER No. TVPE: ' <br />_ -._ _._. _. .. _I — _ _— _' ._ _ . <br />METER DO% CONCRETE SMALL LARGE i I�—� <br />. '_ _ _ _ -_- . _i__ _. — ' '_ _.- _ .. <br />. .. _ _. ._ ._. .._. . . . __. 'I_____ _ --..___ .._ <br />_—'_ _......._ __. . � <br />� I � ON I <br />UATF, INSTALLED: , Z �/- 7 1 �-� OFF <br />4t <br />c6OE , L�OOR ANO EOUIPMEN! RENTAL <br />i7E�dARY.S; <br />SUB TOTAL <br />HU11R5 � R�TE <br />S�S I ff-�. - <br />�: ,�r�, � �, <br />.�- a��i , �� <br />- --- _--- _ . _ � <br />� <br />TOTAL <br />