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voP� ��� / CITY OF EVERETT <br /> 9ERVICE <br /> 4i'WUCATION FOR WqTER SERVICE oRoeR NO. <br /> � FiXED '� <br /> ' DATE_ �' _.� i .19��./__ <br /> �� DEP0917 s ` �j � `.. � --- -� <br /> W. O <br /> No____ -.'___'_ __ . <br /> - __ <br /> � .. � -. . ��n [-(� S.I_ �'�'J� S W �f 7' Z .l�- 1 <br /> SERVICE ier�oon�u�_ a�'� _c. ��5�/Y.R_..J�s2.��1�_. �_ !_. _ <br /> �. _ .BLK. . _. _ _LOT. _. _. _AOD. . _ . _._ _' _ <br /> OWNER-.IG'H[✓_ .N�7ICv� 1.\•�� �- - <br /> � - - - . . CONTRACTOR <br /> INSTALL�/V. _�METERED SERVICE... � <br /> T ' —' <br /> I HEREBY APP�y FOR THE USE Oi' WATER IN ���ORDANCE 'NITM THE � � - <br /> ONDINANCES AND POLICIES OF TME WATlH DEP�RTMENI NOW F.XISTING ���� <br /> �>R AS SAME MAY BE HERE�FTEN CHANGEO. <br /> eicr�cn: x �� . <br /> MATERI�L9 �� �"� <br /> ��.� � ' PpILE •MOUNT <br /> PIPE COPPER�GALY. -. STEEL //G ' N � I � <br /> i <br /> _ _ _ '__. _ .- �— �, '� i ' <br /> CORPORATION � � -� � ' r - . . : . ----- -- <br /> —�-_�' ._ ____ _ ___ __ - . / I '_ <br /> _ _ <br /> __ —_ . <br /> �CURB COC OT . --"_-_ . __ .. -__ <br /> SE ICE BO%�— p�ASTI ..� C I�'---" / I I . <br /> L _ __ <br /> - - - <br /> �- --' <br /> - -- ------1 _ <br /> METER VALVE --�- - - -__ <br /> ._ —___—__._. . . . ` � .__ <br /> — ____ I <br /> METER No. i �� --�— - . _ <br /> ._ --_-- . TYPE: ' I ._ . <br /> METER BOX CONCRETE SM�LL LARGE � i �- � <br /> .��� . _ _ _ _— — <br /> _._y_c°�-�%� ����"1�v l � ; - -- <br /> - --- — <br /> -- - <br /> --- <br /> -- -- <br /> .5_ e:,E' --- —' _ _. — <br /> _ �ar�✓r 4 -�,r�c r4.. �>. - _� � <br /> _ �5�� . .---�iCCC %�if� �'olcl� �l7�lC I �.__ . _ _ ---- <br /> � — <br /> _ <br /> --I� --- - � — �- <br /> . .. _. _ ._ ...--- � <br /> _ ._--- � ---- - <br /> ���,,,///��� I � ', .---- - -- ----- <br /> DATE INSTALLED: /� � 7 G- � 7 I � OFF SUB TOTAL <br /> /� <br /> COOE j L�BON ANO EOUIPMENf qENT�L <br /> I ' MOUR9 pATE <br /> - -I- -.__ .. � .��-`!�'� I � <br /> . . �;�� . . . . . - . _.. _ __ - - --- -- <br /> -- r • e�- .:Ji��. �j/f o N _ _ cV <br /> - <br /> / I _. . _ .- _---._.. <br /> - - j'� T C c-L,_t��EL�- /f <br /> - - - - -- .�.�! � - . - -- - <br /> � -- --- <br /> - --- �1�_�_. 4 - <br /> ---- <br /> --- <br /> -- .� _� _.�S'_- - <br /> � _ <br /> — ' .,�G - _ _ _- _ <br /> RF.MARKS: � TOiAL <br /> _. T��� ; __ // <br />