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�PP��� �/��� CiTY OF EVERETT ''Fa��cE <br /> rya, �_. � DROER NO. <br /> APPLICA710N FOR WATER SERVICE - <br /> DATE-�.Z_"-- -_1B7_�' <br /> L�,FIXED <br /> � DEP081T f'�/ :�'"_%, ���' W. O. <br /> ____._. '____� _- _. _ <br /> -rQ 1 12UL - IC-1 �i ____. <br /> I • /I <br /> :'ERVICE �ar�ocnn��-��-1.__. �,.J�-'���... `-ti___ __- .�_ ���U`+1--U I <br /> _BLK.___..-LUL ADD.._� _- Z___ <br /> {-� �Y:4'-ly <br /> OWNER��L.U...L��{=S�r�.]-� ..�.N�.. ._ . .. . CONTRACTOR__.__.._ ..-- <br /> ��-FLAT I - __ _.. . <br /> INSTAL iGR€DSERVICE____. . . . ___ ._ _.. .._..___ . ____- __.._ _ ''ff._. _ __-__ <br /> I HEREBY APPLY FOH THE USE OF WATER IN ACCOFDn4CE WITH 1'HE � /7 /(��1 � � <br /> OXDINANCES AND POI.ICIES OF THE WATER DEPAPTMENi NOW FAI'iiING L��t. �c.��, <br /> ON AS SAME MAY BE HEREAFTER CH�NGED. elcr+Fo. X� - _ - -__. __-.._ - _. -. <br /> M�TERIALB ' Y� IN.j 1 GL � 2 IN. i � PHI� �MOVNT <br /> i � <br /> G, �--- — � <br /> PIPE P�tfy-� COPPER •-GALV.•• STEEL <br /> t�� -��- +"_-( ' ___ _-_____-_-"_'_____ '_' . . __ "_-__'_. ' __J--_ - ' ' - <br /> l'ORPORATION �✓/LlYST�d__-_-__--..-..___ _ _ ' -.---I_ <br /> _ -- _..-. _- <br /> � CURB GOC T ..� -__� __ _I___ _- <br /> ���`�''''"\ .. ._ _ _ _ __________-.. ____.--_ — _____ -___ <br /> SERV� ICE BO�/ LABTIC -� G 1 I I <br /> �-`____. _ �.___.___.. __ ' -_ -_-_ -- _-_____-. <br /> METER VALVE __ __ _ „_.__ ._ __._ <br /> ..METER No . _. .... .. . . TVPE:. . . . I S __ _—' _ ."_ _-_ _ ____ , <br /> — . . __ . .. _ . __.. - . -_ _ . _ . <br /> METER 80% CONCRETE SMALL LARGE <br /> __T ____-__ . .. . .- "_. _.. _. ._ . "-_______. _ I_.I _._ _ <br /> --� r '�'d'o_ ,f-:�l _2dP��N AQf, L ___ -� —�— —�—'--- -- — <br /> - -- <br /> N-!r�z3---- __— _— � --�— -- --�- -- --- -- — <br /> -- -- — ------ — --- ---- -- <br /> � --j— <br /> ------ - __ __ _ _— — � --- - -- —- <br /> � .� � � <br /> -- -. _ _ __ _ <br /> — -- � -- -- -- — <br /> I I � <br /> ftY ON <br /> '�' SUB TOTAL <br /> �ATE INSTALLEO. ���� 7�5�� n pFF <br /> G�O� j LABON AND EOUIPMENfHENT�L M011Rq NATE <br /> - I � <br /> ___I_ ..__ __. . ._ _ . ^� _.yi-Y . . ._ _ _. ..__._ _ _ <br /> , ,`��-�N_I a t� 3 <br /> --- _. _ __ <br /> L C�_7 �F� - I _�.Z I / �.� <br /> _ ---- � �l �j - -- <br /> � �,� ��, i .�. <br /> -------- - - _ - _ _ -- <br /> - '------------ <br /> - --�-_ _ _ _. <br /> -- ------ - _ -- -!- __ - ---- <br /> _ � <br /> _ � <br /> TOTAL <br /> REMARKS: <br />