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���. 2 �r �� '7l0-,�/9 6 bf <br /> ,Nq,. CITY OF EVERETT OIID[R� N° 7364 • <br /> � APPLICATION FOR WAT R SEP'JIC� 3 O _�� 9/ <br /> � Fl7C[D �, T4 POSTING - � f - ��*_-� <br /> � D[M�IT s J�Sa � W.O. <br /> s[Rv�cs u�r�we�w� /�973/�t��� �LK._ LOT ADD. <br /> OWNLR +6�� G��'s r ���-�� GONTRACTOR <br /> �� � ~ <br /> INiTAL� R[D ![RVI '� <br /> 1 NM[�t A►►LY FOR TX[ USE OF wATER IN ACCORDA CE WITN TNE <br /> O�DINANCEf AND �OLICI[f OF TME WATEII O[►�IITMENi NOW EIIISTING � <br /> OR Af i11M[ M�Y �E XEREAFTER CNANGED. noMm: X _ ___ <br /> MI1T[111111� K IN. 1 IN. 1 IM. � �IIIC[ AMOYNT <br /> rlri COrr[II-6ALV.-ETEEL <br /> COR/ORATIOH <br /> CUR� COCK OT � <br /> ftRVIC[ �OX rLAlTIC -- C 1 I <br /> M[T[I� VALV[ <br /> M[T[RNo. l��_ TV�E: _ I �f __ ___ <br /> M[T[I1 tOX CONC11[TE fMALL LARGE <br /> --I _—_ <br /> -� -� --� - <br /> � �- <br /> -� <br /> -� <br /> ON <br /> DAT[ INfTALLED: � -- J� � OfF 5U� 70TAL <br /> COD[ LA�011 ANO[OUI�M[N711[N�11L MOUI1t 1111T[ <br /> I 00 PS" � _ <br /> I �— � _ <br /> I ��oN I <br /> � --- ------- — <br /> I <br /> � ,: �i( Le t�l;��n on servide — — <br /> - -- 4 ' � Nns W!t:in�;t dl <br /> � ��3^kflntv 1lCUii�{i=^ :�,�-:..� .� � .n <br /> I <br /> I <br /> TOTAL <br /> R[MARKi: ����l�iS �� S I �!/�G./�`+- _/�✓ %v �/� <br />