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��� <br /> c � <br /> �� � <br /> ��� rn vncTiNf. .. a��.� <br /> y � <br /> H <br /> �.�I� SERVICE NO � Z O � <br /> O O � NPOPL. � p� `� CITV OF EVERETT OROER <br /> ~� � APPLICATION FOH WATER SERVICE /; � � � � �� Q� <br /> � DATE___� / _10J_F— <br /> Q�� � FI%ED w.O. <br /> �.1 ' r « r+o._— -- <br /> �r p.�� � � DEP061T i IY,�____ <br /> aH I � <br /> t y y BERVICE I�r ADueu�l--��-"T� BLK..__LOT__—AVD.— <br /> N ^ ,,,,'� ��✓` _CONTHACTOH <br /> C�C f/1 OWNER__�M�� .: <br /> �� � 3 �F1A -'— •- • <br /> INBTALL��-METERED FERVICE_—�---- �_ <br /> �y I NEREBY APPLY FOR TNE 1156 OF WATER IN �CCORD�NCE WITN TNE } \ � ,�1 ��/��_ <br /> y OROINAN[ES AND ►OLICIES OF THE WATEP DEPAflTMENT NOW E%ISTING .I`„EO: % � C ,'�C�l(\_.. 1--I`_._�__C I - _ <br /> OR AS S�ME M�Y BE MEflE�FTEN CMANGED � — <br /> 141N. 1 IN. � 3 IN. I �� PR E A O�1Nt <br /> M�TERI�It �— <br /> PIPE J��,;'�nF.�f_._ COPPBR .. GALV.--STEEL-�,S� __�-l--- — <br /> CORPORATION <,1/�_� �C� '____---- - —'�- � . <br /> qT � ___ ___ - _- <br /> CURB COCK _. -------- —� <br /> -...'- <br /> PLASTIC •- C 1 � - <br /> SERVICE BOX _ <br /> __ _ __ __._ <br /> METER VALVE --- - � � <br /> ��'_- � TYPE: _" __'._ I; _-1__I"___ __" - "_- <br /> ,�e.o��c> >_. �_J. _— -- — <br /> � SMAL_ LARGE ' I_ --_- - <br /> METER BO CONCRETE __ _ ._. _____ -�----- <br /> ---� I � I <br /> ,_' , C �1L1-�`1-� -- - --_— — --- — <br /> f C�� �° _-�1c��.��;f�-- - - -- --i —�-1— --- _ — <br /> ' ���r���� _i � -;--- ---- - <br /> � � <br /> 1 � ,�� 1.+�14` " -- --- -I -- �--- ----- - -- <br /> , �� - ---- -- � �— � i ; <br /> i � oN <br /> SUB TOTAL <br /> � DATE INSTALLED: �j'���i�-�� / fv� OFF <br /> t � / . �_"-X, <br /> i Hounf n�1c <br /> L�oOR /�ND EOUIrMENfRLNTAI I <br /> I `� COO[ � <br /> I��� 21� --- -- — <br /> ------- ------- --- <br /> �_�'`� % /r/_ � --- _ —�I-- ---- -- - - <br /> �_,__-- � <br /> ���I i ^%- > `� ---- --;-�_::�'�"`_ -- -�— - ----- <br /> — ._- -- -- <br /> �� ; � U � –-----�,�a . � . . _ . - ._ —i--- <br /> ! � ,: � , ut� <br /> � �� � � ��/� --— `' ,, i r� nt_i C�n u_cilion --- —�I -- -- — - <br /> I �_ I .._. � I TOTAL <br /> �' '� REMARK3: ' ...__-S�'_—_ <br />