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CITY OF RENTON
APPLICATION FOR SEWER SERVICE
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Date................................, ._......_..........!!Z.... , 19.7..�..........
..
make application for Ser. Service for the premises located at
No.............%.a..y.. - J..........-�: r�c�........ r..: "`" c......................... .............................
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on Lot No........2_- ..... Block ISo......... ..... Addition.: fir....... ............
orproperty description :....................................... .....................�........................................... ...
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The Sewer is to be used for..,..... �:....... z::...C:�.f............................................purposes,
and agree to pay the rates now or hereafter in effect for such service
and comply with all the rules and regulations as set forth in Ordinance to be adopted "{
regarding the use of such service and the care of plumbing fixtures. 1
kSigned .............. .......................................�._._._.........._......._..........._... i
Size of
lk Pipe...... .... ... Kind- ......�J.... ........................... ... ..
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Sewer laid by__.'_. �.
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..... Sewer turned in. 5 '&.:�!_:. `d
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