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, - . <br /> � � � <br /> ro <br /> �O G <br /> C H <br /> � Hts N <br /> y 5 N <br /> K !1 <br /> O � O .-.-:.; ,^<. ,.'. . <br /> � N H <br /> ` z �j '�"Y2t � '�.s.::,:,.:'ez`aR�t*+�"'+:�� <br /> G9 i� Fi <br /> O H <br /> H l�q �p <br /> G1 ` n � . APPL. SERVICE <br /> � c No, CITY OF EVERETT oROER (v° 7 p 9 9 <br /> ��3�-� <br /> z y � � � APPLICATION FOFi WATER SERVICE � <br /> � 1-� y DATE_��18� <br /> � y M � FIXED W <br /> Rq CN � � DEPOSITs(�50 � TO POSTING �- �'�/ � ryp�' ��� <br /> t4 � [rC ��W/'� ,� <br /> � O N SERVICEuv�cones���-}' ��%�A)/I I�f_BLK._ LOT�ADD.�J.F-� <br /> OWNER ryblUl �.l1AG`l�/' D I� CONTRACTOR _�(� <br /> Ir LA X <br /> INSTAL� �f METERED SERVICE-.--__-_ —_ ' <br /> 1 HEREBY APPLY FOR THE USE OF WATER IN ACCORDANCE WITH THE ` <br /> ORDINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING �.LL'� �/f <br /> OP AS SAME MAY BE MEFEAFTER CHANGED. eicrvEo: % �� __ _'�`.�Z�-_ <br /> MATERI�L6 Y� IN. 1 IN, i 2 I� I —p� AMOUNT <br /> PIPE '.) y�{�n�r.� COPPER.-GALV...STEEL'F.�y 2<, Ir � <br /> CORPORATION ' yn�� /Q -/7 _ �_ I _I � _ _ <br /> _'-'�r�- — ' — <br /> CURB COCK OT I I <br /> SERVICE BOX _PLASTIC �_C I _ I �I_ <br /> i�,��' METER VALVE <br /> ----_. . . . _ _.. .___ —__'____.'__— <br /> _—____ ____. . _ _'- -_ __ <br /> �� Ii!�R!DE�71Er7Q!�L« G�J TVPE: -___'_I_�S—'--- _ -_ __ <br /> METER BO)(/) {CONCRETE . _ SMALL LARGE 1__ I <br /> 1 1�� -�.,-�� `��i)/�$ `>% --- � I--L--I— <br /> ��� ��. -� / I � I <br /> , <br /> �, , � i _, - � y --� -� - <br /> �,�, >�� ��7 -- '�-i- - <br /> � -� � -- --- � I�_I -- <br /> � I � ON <br /> '=,�t DATE INSTALLED: J �� �/ � / OFF SUB TOTAL <br /> CODE � LABORANDEOUIPMENlRENTAL HOURS HAT[ <br /> _��G� %p0 :. ,Ji � — — <br /> + ��'�i _�__.z��./jc�-� k _..----- --I -- <br /> �� i L �!J ACTIO{�— I -- <br /> — r =—_ ------- i-- — <br /> � _I���� ,�f7.:L .<L ��(�-}�f1�.em on scrvice -- <br /> i a;�nli c ilin�is—���r�------I <br /> I �� —� �f:(4:c; r��v trt��Fonsul47114� --- I — <br /> \ � �— � <br /> TOTAL <br /> REMARKS: <br /> � <br /> n r+ [n :t � a1: -n R+ 'P 3 '�J m :S r _' <br />