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I <br /> 'PPL ��f�' � pPPLICATION FOR SERVICE ppDERE N� 6 4 � <br /> "°. CITY OF EVERETT WATER DEPT. � s �; _�oG�� <br /> la� y onTe <br /> � w.o. -y`� t� <br /> � ..,J✓ No.—.L---� <br /> � rErosir :1�. 5, _ -- <br /> I <br /> 3G ��7�:.� `1�G� <br /> c.. . OLK._--ri-OT__H_AD .—T-T--'� <br /> SERVICE I�Y DDPE/�1--�///- �5��� --' -----'—"-�-' y/ � �r ���_ <br /> ��J��.�.0 __ CONTRACTOR�'��� � � . <br /> OWNER- 71�/IF y� _, �j�/• �� <br /> �/' L �✓-r�`�-1 <br /> INBTALLf�—METERED SHRVIGE�y���'�� � / /� <br /> I HEHEBY APPLY POR THE USE OF W�TER IN ACCORDhNLE WITH THE /;����;-` =,/ <br /> ORUIN�NCES �ND POIICIES OF THE WATE�R DEP�PTMENT NOW E%ISTING s'cNEo: X� u��i� J <br /> -� <br /> OR AS S�ME MAY BE HERE�FTER CH11NG,_D. pp��E AMOUNT <br /> MATCRIALt di IN. 1 IN.� ! IN. I <br /> ! �)g � <br /> P�PE _�COPPER�GALV.••STEEL __ _G7 __� _ - --- -�-- <br /> _� � � � '� �I�� <br /> CORPORATION� _--- --- I <br /> � ( _ —� I�_ <br /> CURB COCK OT ---- — -'-� _ �I I <br /> �------ <br /> BERVICE 80% PLABTIC •• G � __ — — <br /> �- <br /> �__ _ __ _— —. . �- <br /> �METER VALVE - <br /> --�–� —���–It—� ------/-- -_?1_,s ! — <br /> METER NO.S�L-.�Jf/-e.c�.+_�� TYPE: J3J�Ei1'%_ — '.- �- _--_ ._ �J <br /> '� METER BO%, �CONCRETE� � SMAL LARGE _� _ _�_ ---- — � I�r�_�� <br /> V <br /> _���as� ��— 3e� <br /> - _ ��a�_��L— � �— - — — <br /> � <br /> _ — — -- — I <br /> -- ___------ - � -- _ I . <br /> ------- — —�-—— _ <br /> I � ON t�I �.��' <br /> �"� SUB TOTAL <br /> OATEINSTALL�D: C7� � y .,�'� ,�I �FF / 'LC..��. — <br /> 'S Houne ��_�r! <br /> COD[ �—__� �AOOp �ND EOUIPMENf 116NTI,L � � � .-, <br /> �� II---/-+-�`��� _____________'_—""_ _� I �_ �. �f � � �� <br /> _ ���_ 3. �'�'o �-.� Z� <br /> — '` �= ' �' - <br /> _il <br /> -'� - -- -- — -- -� J� --� , . <br /> __— — <br /> ---- ----1�- - , �li I �=- <br /> ----�� <br /> ��-=`�— ---- ----_.-- - - --------- �, �'''--- �..-- <br /> � _ __ _ ,� <br /> ._ __ _.._ <br /> - -- -. <br /> — '----------- - _ _ _ � � <br /> �_ I TOTAL I �� <br /> REMARKS: . _ .. .. .-______ ... .. <br /> _.._.__ '_____'. _ _ <br /> ___.__ <br /> � '�_'/Si_ _ . _ . _ � . . . . <br />