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Hn � <br /> Q � PC <br /> C H <br /> � Hv� <br /> H �� <br /> fC C] <br /> '� <br /> � � <br /> N�C� �o <br /> HC <br /> ��y �O POSTING <br /> n, :� c�i Ho��' , , , , l� CITY OF EVERETT oAocw� �1i' � ' '�`� <br /> �„i APPLICATION FOR VlATER SERVICE �� � f <br /> -�i y,� FI%ED r DATE._ _-_ _.�_I .. � �IY�-�-1.- <br /> �Uly � DE�061Tf '����1�` 1 No�—_'—'- -'___ <br /> .1.,�1� l�� , <br /> �eti : � I , .. , . �, _ , � <br /> SERVIClUr�oD�u�1-fL--�_��--'�- _l� � / � —BLK.__-___LOT.__.___ADD.-- <br /> _ '_ <br /> H O� OWN[R_LiL.LF�i.L. �4-� . ---CONTRACTOR'_.___- ____._..__ ._._"---.'-- <br /> FLI�T __ �. ' <br /> INSTALL�-�METEREb SERVICE_.-�_ .. _. __---- -.--_._ _--_ -. <br /> _ _. _ _ '_ __ ___ <br /> I HEREBY APPLY FOII TXE USE-Oi WATER IN ACCORDANCE WITH TNE <br /> ORDINANCES �ND POLI[IES Of THE WATEN UEPARIMENT NOW EIISTING <br /> OR AS S�ME MAY BE XERE�RER CX�NGEO •InHED: ._ . <br /> M�TCIII�L� W IH. 1 IN i 1 N, PRIC[ UNT <br /> PIrE COPPER-� GALV.-�STEEL I � <br /> _—._ _ . _____ -_' __ _ _._ .._ ._i-_ <br /> . __..__ _ . _ -- <br /> CORPORATION \` I . _ J <br /> CURB COCK OT _----__--_. . -_—_' _' _—_ '-I_"_ - ____ <br /> '-_ '-I _I_-- ______. _'. <br /> SERVICE BOX PLA9TIC -� C I <br /> __'__. _-_-_' .__.1___.-__' ._'__�- _ _ — ._ . . . _ . _'_ __'_ <br /> METER VALVE � <br /> __—__ . . . . __' -"_ . '---_ ___. ..- _- _ <br /> METER No. TYPE I 4 <br /> � �� METER BO% '.___CONCRETE 9 ALl l�RG6 _ _ ___'I_- � _ __ _ _'_. �_ __' <br /> I <br /> \ I . <br /> � -_- ___ . - _____ - — . __ _ <br /> � AL'Ti � <br /> 1 ` I -- --- - �- -- � - - <br /> WIII be taMen on se ice <br /> i <br /> � �PPhCaliOnS wltFibUt- I . �r .. <br /> __ <br /> ' ----�}+roveM4on Gin � ---- -- . > / _ . . <br /> ai I <br /> -- — -- <br /> ' � - SfF-iSJCIPL � -- — ---.__. _ .... .--- __ _� .. ._ i��-.. ---- <br /> I _' -- -- <br /> r � <br /> � .� � o <br /> OATE INSTALLED: I '`� � OFp SUB TOTAL <br /> _ COO[ L�BOP �NOEOUIPME REHiAL HOIIM! R�TE <br /> � � . <br /> !� � �_�-_r[�,'_ - , _ _ _ _ _ <br /> y- , <br /> _ - - - - - -_ . _ <br /> ------------ - >----- - -� _ _ _ ___ <br /> -- ----- -- __ ---- --�- -- <br /> (�� + ------- ___.. - _ _- -- --I_ _ _.. <br /> � — . --- _ _ <br /> i <br /> � � � � _ � _ <br /> TOTAL <br /> REfAAqK9: <br />