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0 <br />APPL. � j'7(J�1 <br />No. A.� ( <br />� FI%ED C,/� <br />C' <br />� DEr031T s �n� <br />SERVICE l�r�ooenp-�I <br />OWNER_i-1'crl�T A �IC <br />,v/,yI�` �� !*LAT � <br />INBTALL�1�—METERED <br />CITY OF FVERETT <br />APPLICATION FOR WAT[R SERVICE <br />, t ' (' I <br />ORDERfi !�� � 6114 <br />DATE._ _-I _L 1<._1Y.��--, <br />W. O. <br />� _ /�� pJ �,_S�___BLN.-_-�OT� _ADD.1��( /�L� <br />�� <br />��. .'I • _CONTRACTOR_-.�LV���� .------ <br />BERVICE--- - �— --- -"�----- <br />� 'i <br />I HEREBY APPLY iGR iHE USE OF WATER IN �CCORDANCE WITH THE � /'� /%j 1�— <br />OR�INANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING ��� <br />OR AS S�ME M�Y BE HEREAFTER CNANGED. ncHco: % L� -- r�`��- -- <br />M�T[RI�L■ w' /�I "�I I I' PR---�1� �MO-� uNT <br />I I <br />PIPE� � r Lf� COPPER -� GALV. -- STEEL __ <br />CORPORA?ION _____ _ <br />GURB COLK OT _ __ __ <br />SERVICE BO% PI.ASTIC •- C 1____ _ <br />-�,6�}C��GS�y7 - .�-- <br />METER No. TYPE: I '� . <br />- ._______..'_ .._- _ .. . <br />METEN BOX GONCRE.'E BMALL LARGE_ <br />�y�����7- - - _ _ --- <br />.�.C�.��' � r�y� --------�' <br />r � o� iy�OJ$ �-7- � <br />6a��� �� y.s_y-7--_ _. - ---- - <br />� n u P 3 y���-��� - -- -- ----I ?- <br />DATE IN9TALLED: J/�� f7F1 I �OFF <br />' S T7 <br />CODC � LAlOR /.NO EOUIPMENf RENT�I <br />��,1,• � <br />�a���=����1 l� l _----- _- 1l✓ o <br />I �� _%l�� _ <br />� _ _ __«l ��� <br />--; _ _ - 3 ��s-- <br />---- - <br />i_-. --- --- <br />—I _ -- -- ------- ---- --- <br />REMARK`3: <br />�/ � , , ! SUB TOTAL <br />l� <br />� � MOUiill RMF <br />l._---__._-'J_.-� __ —_"_ <br />� ✓l �-�--- -- -- -- <br />--- ---- <br />�-�/ -- - -- <br />------ �-y- - -- - <br />I <br />-- ---�- - - - - -- -- - <br />