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0 <br />NOPL �(�57 3 ' CITY OF EVERETT oROE�R E - � <br />APPLICATION fOR WATER SERV�CE r�° 5336 <br />� FIXED �y� OATE�-�---�8_C� <br />� DEP031T f � "� o�— . _ <br />SERVICE ;eY ADDRUBI �'-=1=� 'u�-��-�-/�l�L--�--�-a--BLK._ LOT ADO. <br />OWNER� , , V —GONTRACTOR ��f �/ � � i __ <br />INSTALL_-/__/I _ ED-8[RVIGE�---___ —_'_--_—_ �� <br />I HEqfBY APPLY F�UR THE USE OFJNAi�N ACCORUANCE WITH THE <br />ORDINANCES AND PO�IESIs.F-TFE WATER OEPARTMENi NO'N E%ISTING <br />OR AS SAME M�Y BE HEHEAF7Eli CHANGED. eicr+co: X. <br />M6TER�� �6 i 1i IN.1 1 IN. I 3 IN. <br />PIPE � t; • O _ L _ <br />��' . CORPORATION � <br />� C' ' CURB COCK OT ___ <br />� <br />' SERVICE 60X � -- C � <br />� , _METER VAWE ___ ____. _ _ !;�{AI [ <br />I_'' METER No. 773/ T�PE� r/A,7r�C. I_�_ <br />� METER BOX LO'RORL4E P�}T.0 SMALL LARGE <br />� � -��"z�l�—_B�i_1�---- — <br />� � 1_i �.N— �,s�z�_ --- <br />1- 1'ai_ U[. <br />� ON <br />DATE INSTALIED: 3 �j /�P-� � OFF <br />/ � � V <br />CODG I � LAUOp ANU EpU1PMENf PENTAI <br />r <br />PRICE <br />SUB TOTAL <br />MOUPS � NATE <br />AMOUNT <br />TOTAL �I I <br />REMARKS: � S��( J� ' jT GF � T A / S-� J.'!/N�_ �r'^ti'TN O/- %.i�/�NS L/rVE _ <br />2.3.5' P�.�E �.,</6. <br />I <br />