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� � � <br /> m � H <br /> x <br /> C H <br /> 9Hti <br /> r <br /> y � H <br /> K n <br /> H � <br /> �i1 H 'i1 <br /> C/� H[� <br /> Ci1 O ['7 <br /> H C7 <br /> OH <br /> :U C7 C7 <br /> H Ci7 O <br /> (�]Y �] <br /> H <br /> z t� <br /> '� yz <br /> t-� H <br /> C %� <br /> O H <br /> :� t7� <br /> �� � NoPL Z6H42 CITY OF EVERETT pRpFp E Q <br /> �� �y APPLICATION FOR INATER SERVIC[ �I_ 56 1 3 <br /> �ATE- OCt Z4_ _tA H� <br /> � FIXED <br /> � DEPO5IT W'�' <br /> S 60.00_ Na.—_—--'— <br /> SERVIGE �av AOORE98) 2020 LdkO HBiaht' Dx B].da H___gLK._ LOT ADD. —_— <br /> OWNER �k' _t __'___�-_� - CONTRACTOR --� <br /> IN57ALL 2 FE.�TEa[D�ERVICE—--- - --�— — - <br /> I HEFEBY APPLY FOR TNE USE OF WATEN IN ACCOfiDANCE WITH THE <br /> OPDINANCES AND POLICIES OF THE WATER OEPARTMENT NOW EXISTING 1� � � , <br /> OR AS S�ME MAY BE HEREAFTER CHANGE�. aicrv[o: X �`�`^- _�M�L� - - <br /> — MhTEflIALS R IN. ! IN. � 2=N. � — I— PR� AMOUNT <br /> - PIPE COPPER--GALV.•-STEEL ' I <br /> � �+�� - _ _I "-" ___ <br /> � CORPORATION _._ _� <br /> �� -- _ <br /> � CURB COCK OT I I _ ___ <br /> ; ; - - - -_- _"I __ - - <br /> I SERVICE BOX PLASTIC -_C I___ _ I__ _ __ ___. <br /> � � _'_'.__ __ - -_-_- � _ _ .._ - '- _ -_' <br /> ' METER VALVE . I <br /> ��� _- . _ -_ , . . <br /> METER No. ��O�___ . _TYPE:�fG�/S/o� !f _ <br /> METER BOX CONCRETE SMALL LAPGE � _ <br /> ._-_ - -_-'"_-_I _- - _ <br /> 1 v�s -_'-_ -.__.. .-_- - _�. _ _ _ . ' . _ <br /> -y -_- _-� �I � - _ <br /> _-"_- - _'_ .- -'-I_ _�_�-_ __ -_ <br /> 1� � i - � � -- -- -- <br /> ----- - �--I----I i- --i-- -- - <br /> �ON <br /> !`'1 DATE INSTALLED: //� �l/- �b/ I � OFF SUB TOTAL <br /> COOE � LAOOP ANO EOUIPMENfRENTAL I NOURS R�T[ <br /> ------ - -C�p9"2 rirT'ir' -�� --- - - <br /> ' ���� � --- - -- <br /> � I � _ - - <br /> - - - j _ - - <br /> , <br /> � - -- <br /> - --- ---- - - - - -- - - <br /> - -- - -- <br /> ----- _ <br /> -- ---�- - -- -- - <br /> �: 03/03380 -_ ._ _—._. _. _ __. � <br /> TOTAL <br /> REMARKS: _ __ _ _ __. __ ___ _ _"_ <br />