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Everett, Washington <br />Date: -�, _iy�-7; ; . <br />TO TH� StiP�RJ1TEND��]T OF THE Zi�A�Ei2 DEPARTNIENT: <br />I hereby make application for wa+er service from the fire hydrant located at <br />/," C i �C�' �J .%�i G>' i5"i�i l ��.ii�4—_ f02' Lf . ��-> , �_. �/!( ['w'^/il%i•�Jc°t'���.,^ � �Si�/K ) <br />� 7 <br />/ � / ' � �� i c ) ' <br />Signed: ,�! /.�� `�://c,=-�'�`�- f1PProved: _ _�„_� <br />- — � �' � I � <br />FIItM: Ii:, r ri z l'�i-,� l� Billine Address: (.it �<_ �i7 r-f ��:� � � <br />, <br />/ • L-cj�vi �;c. �, �.: i� %:��� =� � � <br />Deposit NIade:��i: r '�.� �'`��'� % <br />, — <br />Hydrant turned on: Hydrant turned oFf: <br />Datc: <br />Date: <br />