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r�io���'/ / �� CITY OF EVERETT aeRvicE � ,� � , <br /> APPUCATION FOR WATER SERVICE ortoER NO. .1 ��; ,'. G <br /> / <br /> � FIX[D O DAT �_��� . <br /> p niro.iT s 39S°— w. o. <br /> No. <br /> (�� � ,y;� Lr <br /> fERVIC[ (�r wuo�n��—J���D �/LR'IV D �N6• BLK._laTL_L07li�-�ADD��T Df El�i � <br /> owN�._Ric_ q�/to s���,✓a�v �''� <br /> � CON7RACTOR <br /> F <br /> INiTAL � ERED SERVIC _ <br /> 1 XERE�P AHLP FOR TXE USE Of W�TER IN ACCORDANCE WITM TME <br /> ORDINIINCU AND ►OLICIES OF THE W�TER DEPARTMENi NOW El(ISTING <br /> OR At fllM ^NFJtEAFTER CMANGED. • HE • <br /> MATUI�Lf <br /> � �N' � ` I � �N' I ��IC[ AMOUNT <br /> r�r� � COPPF_R•- ALV.-STEEL � <br /> CORMRATION Q � <br /> CUR� COCK OT I , - — <br /> f[RVIC[ /OX PLASTIC -- C 1 I <br /> M[TiR VAW[ I V� — . <br /> M[T[R NO. .,� �M — ---- - — <br /> M[T[R �O% COFiCRETE�` SMALL LARGE <br /> ( I —_— <br /> -r�� 7 .-� ;_�, - <br /> ` JI <br /> I -- <br /> � <br /> p � � <br /> DATEINSTALLED: � /� /,� I � OFF 5UB TOTAL <br /> COO[ I 1I1�OR �ND EOUI►M[Ni 11ENTAL HOUIIt RI1TE <br /> I <br /> I � �. � " I <br /> I �� r� � ' I--�— — <br /> .. <br /> — � _ � <br /> I � <br /> —� -- <br /> � <br /> TOTAL <br /> REMARK3: �� yvN�D �1 FF <br /> �°F�—�_17�T ts-�EN—��=7'C�./-c- <br /> 47ST A.vo D��[7S� T' � ' <br />