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� ` NOP1 � �6 3� rITY OF EVERETT OROER E NO 7�I �� <br />FPPL�CATION FOR WATER SERVICE <br />❑ F'XE° TO P(ISTING-.��JATE ��-? --.,�, �� <br />n <br />� DEPOSIT i /(iOO v� NoO. _ _ <br />� SERVICE (�Y AODRLC�)_L�'� � '—������s�-«✓�J1��BL`( . LOT noo. <br />/�7 // < <br />OWNER//�.•-n<-% ����-«-�+p'-�-• �� CONTRAC70R _ _ <br />�. FLAT-..._--._'��I __- <br />INSTAU �� <p.LETERED SERVICE�--_ J1 = <br />1 HEREBY APFLY fOR 7HE USE OF WATER IN ACCORDANCE WITH THE � 1 1 <br />OROINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING � �� �� <br />OR AS SAME MAY BE HEHEAFTEH CHANGED, eicn[o: %,r_.._�L __..- � __.__ <br />.r <br />MATERIAL6 iS IN. I 1 IN. � 3 IN. � v I I I p� AMOUNI <br />PIPEZQIif�n9<-I� COPPER--GALV.--STEEL-AI/A': I i191 I I . <br />CORPORATION �, V�J �5 '� / _ _ <br />/f>- <br />CURB GOCK OT _ <br />SERVICE BOX PLAS7IC -- C I _ <br />METER� y �� C/'_/��_/._'____.. -- <br />y��Q nQ�_7 �_.7_./._ I�VPE� _ � I •._ — <br />T�_ _ '. <br />METER BOJf(' CONCRETE __ _SMALL LARGE _I__ <br />, �, -- <br />DATEINSTALLED: <br />COOE � <br />�J6 ��s <br />— I_ � <br />�L�G <br />! �T , <br />� % `�-�%--- <br />,� y�7------- <br />>�� <br />I � ON <br />� � � � <br />LAdOR AND EOUIPMENf PEI�IAL <br />�—L/--� <br />-- --`=�� <br />o r �- <br />REMARKS: /=F�✓.;.q jJ1Y'i�E.QY+.q'Gr :yPi,l4vr"/;C'� Oli�%tii <br />TtlL'c�ilf�°' l'79l .^l= /:x�s-fl.lL�'.�%P�I.! —_1�., <br />' �r <br />� <br />SUB TOTAL <br />HOl1R5 � qATE <br />I_ _ <br />'I"✓'dL L aj� <br />TOTAL <br />'_--1–_'__ <br />