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4;7 <br />APPL��"�'� ��^ � •� <br />n�a, ,-,,-���.' C' CITY OF EVERETT �RoeR� N0. <br />APPUCATION FOR bVaTEh SERVICt <br />y�'?- t � =�/ ^�� <br />� FI%ED DA . L;�.�___ _ __.18.l--u_ <br />o� <br />�� DEPOSIT s �� � / ��. O. <br />_a.- '—_ _— NO._'_"__—__"_.__ ..... .. <br />j /� / F/' / %� <br />SERVICE ieYADDRE88)L���b..� :-�� -,9 . /t1L�� ___—BLK. —'._' LOTL�_./tpb.- LCj�.����:.'_ <br />OWiJER—_._-' _//_�LA��__ ____ /// _..___.__CONTRACTOR _._._ ____.—' _' �.._ ' __._._ <br />� �L !� _ <br />INSTALL�.�C____ldE7ERED SERVICE_ _ _ .. ______ —___—. _ .__. <br />_. __ _' _ -_ . —_ <br />I NEflENY FPPLY FOR THE 115E OF WATER IN ACfORDANCE WITH THE '���j�! /�/��� ���� � <br />Ofi�ASASAME MAY BE�IIEREAFTER'CNRNGEODEPARTMENT NOW E%ISTING BIGNEO:X �yi`u�i.0 !GGI�����GVYY� <br />�--�� MATENIRLs � V� IN.I I IN. 2 IN. � <br />PIPEj�/��jr�C COPPER GALV �TLEL ILfJ�� �_^r— _—_ <br />-_ _ .__ __ —'_.. . ._._— <br />. . . . . . _ ._ __ - __. <br />CO^6 AT��l—/ .�iY��i. ��r� _._—_.._ I � . . <br />cuRe cocK-' 11 or (�/, %. /NST 1 LT�: _. -- � -i ---� _- - <br />-/ -- - -- <br />ES FVICL HOX PLASTIC } r I _ I I <br />_ _' '— - _— _ <br />-- '__ _ . . _ _ .__ . ___ __ ...—. .. <br />METER V WE <br />' __'__' _ _ _ _. _ __. _ . . __ _ _�-- _ _ ' <br />il I <br />METER No TYPE: � . <br />PHICE <br />_ _ _ _ _._ . _ . _____ . — ' —. __' __ I_— _. _ _. <br />FiETER BOX CONCRETE SMAL.L LARGE i_I_�__I____�I <br />---f�i �� �ro � c vAtE _ .s l � c�c __�---I— - <br />—1 . .---- ----1--i <br />---- — -- <br />---r� _�=�i_h-L C v �.P _ �i � � _ SZG C fI_ - I --- <br />-- ----- ____ _ _ - -� __ - <br />, <br />I " ON <br />DATE INSTALL.ED: /, < OFF <br />M'�C •�J� <br />CODE �, LAAOR ANO EOUIPMEN! R[NTAL <br />REMARKS: <br />I <br />_I_.'�_ _.— —__--' <br />� __...- -- <br />--� I- - -- <br />-:___', - -- _ . <br />SUOTOTAL <br />MOURS � PMC <br />AMOUNT <br />-- �-- <br />- __ —_ _ �ez�. -_ ____ _' _l1 —__ — <br />_ _ _ �.��n"HJ.�.v --12 <br />--- —.. <br />-- --- � �/ � C�G�� �� ! <br />,.u�-i.lN1'FA/'--�- - -- <br />� 3Cb� --, /� <br />-- — _ - — — — --- <br />_ � <br />-- — <br />_ __ _ �i" .� s__—_J _ _ — <br />TOTAL <br />