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� �� <br /> o� z <br /> Q hi <br /> � Hxy <br /> HZH <br /> FC C] <br /> H� <br /> Ox0 <br /> 'i1 N'� <br /> fA H <br /> � O � <br /> H t7 <br /> ON <br /> �/��g <br /> y�V � <br /> ry� <br /> HH <br /> N <br /> J({� SI:NlKE <br /> n d� NOP ��/� � CITY OF EVERETT OROER /N�° J 5 Z /�� <br /> APPLICATION FOR WATER 5[RVICE ( ,(q/� 3V 18/� <br /> �y� ��xEo YO POSTING LZ L ���y� OATE ���,�1 <br /> W.o. <br /> H o v, � oeroair s ��.�� Nc.—. .-- <br /> SERVICE t�r�o e[��1 <br /> �JU2,.���//IA'1 � L �_/_JV BLK..�—LOT_�S—ADD. <br /> OWNER__��� --CONTRACTOR__._—.— �. <br /> INSTALL�-�;MLETERED SERVI _._. _ _ _ _---------- '--__' _ ___— _. ' — _ ___ <br /> I NEFEBY APPLY FOR-TAE"tl3E--(3f w�TEfl IN ACCOP�ANCE WITH THE ` n <br /> OpDIN�NCES �ND POLICIES OF THE WATER DEPAPTMENT NOW E%ISTING Jf�. - <br /> OR AS S�ME MAY BE NENE�F7EN CHANGED. e�Gr+[o: % . .���=�JLyhti—'�--� � . - <br /> MATERIAlS w ��'I � ��' i � �N' I � �'RICE �MOUNT <br /> PIPE COPPER--GALV...STEEL _��-- .I . - �'. I <br /> '_. _ ___ . .. . .'_"" _ _ <br /> CORPORATION _ � _- ��- 'I I _I__' __' ' "_ -_. _ <br /> /_URk3 COCK OT �- �—_--- - -- —� - I � I <br /> '�' SEHVICE BOX _ PLASTIC -_C 1_ _ _ _ ' � �__ __. <br /> —�—__ _ <br /> 1 ' METEfl VALVE _______ '.. ____. .. _. ! _ . . _ I __'_ __._ <br /> � METER No. .,�J_ __. TVPEIJ��VI�� 'O�,_- __ — ' '_— _ <br /> _._' ___ _ _. .. . <br /> /�' I _—III _ � <br /> METEP BOX CONCRETE SMALI_ LARGE <br /> _ _._ <br /> _..- - .- I__ -_I -_ <br /> ' ' . `-. .___ "—_ - <br /> _ __— <br /> __-_-__ ___ _ _ . — _ <br /> � � <br /> _ ___'_ "_'—___ '_—i _ _._— _—__ — <br /> - <br /> ' <br /> ( — — -- � —�— I --- -- — -- — <br /> _ - - �--- - -- --- -- - I -- <br /> �_1 -- ---- 7-- <br /> a , oN <br /> 1w' UATE INSTALLED�/�� ��� s L � OFF SUB TOT�L <br /> 7 <br /> � CODE �` � `!___ -__ .." __ __ - ____. ____. __—__ NOlIPS R�TE � <br /> LhBOR ANO EpU1PMCNfREHT1l I <br /> —� —1�_—�Z.� _ � - — - — <br /> — -- - -- -- -- <br /> — r��r r,���,—��v <br /> �,� — -- —� bo taken on�servlC — — — — — <br /> ' � — — <br /> -- - <br /> - ---- E�,,� � C15ont wM�oui a i <br /> � � --�65'�f�'iWPrzve�=Pi�!t4:,-msttN-tiion--- - - - - <br /> � — —� - ---- — <br /> --- --- --- --- ------ -. . —_.._ . . <br /> —' -- — -- I <br /> i <br /> � TOTAL <br /> REMARNS: _ -- <br /> — —_ _ _ <br /> - . - �--_- _- __ __ <br />