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� APPL. <br /> Na, 1�9��� CITY OF EVERETT �/��s�vvic�N° B Z G J <br /> APPUCATION FOti WATEP SERVIC orxoER <br /> �IXED YO POSTING 5 "� � DATE�����19_ <br /> L. DEPOSIT �� yy,p, <br /> No._ __ <br /> 3[RVICE prv wooeun_��/CL_/.CL� //-P . �(1 BLK._ LOT ADD. <br /> OWNER_�(L�_L_�S���� LG�/C/ CONTRACTOR <br /> INSTALL_� F ETE� 1� HED SE -RYICE _ __��L v 0D ______._ __.____ <br /> I HEREBY APPLY FOIt THE USE OF W�TER IN ACCORDANCE W17H THE � <br /> ' OROINANCES AND POLICIES OF THE WATER DEPARTMENT NOW E%ISTING / // � <br /> OR AS SAME MAY BE HEHEAFTER CHANGED. ncHEo: . 7��`vL , _��y���,l _ <br /> M�TERIALS - �' IN. 1 IN. � 3 IN. � � P� AMOUNT <br /> _ PIPE ___ COPPER•-GALV.-- STEEL �I I I, <br /> —i--— <br /> CORPORATION _ _ � � <br /> CURB COCK OT I I � <br /> _ ____—"_ I — —� _. <br /> SERVICE �OX PLASTIC -- C 1 I I <br /> METER VALVE I <br /> — _ .7____ -- __. � __ _._ _.._ __.._ __._ <br /> ME7ER No. TYPE � `w ; <br /> ME'CER BO% CONCRETE _ _ SIAALL LARGE � � I <br /> _' ' __'—_.�___.. _._ "— _-- <br /> --'._ I �I_ __ <br /> I --I' �_' — _—__ _---- <br /> � <br /> __'____'.__--_'——_i _i— _ —" _ <br /> � � I I�—_,— -- _' _ <br /> � ON <br /> DATE INSTALLED: n OFF SUB TOTAL <br /> CODE � LA0 p ND EOUIPMEN( RCNTM1L � HOURS FATE <br /> � ���o�.) � <br /> � - - -- -----, — <br /> -- ---- -- -R`t'-�, ,- �--- --- <br /> �T1��J � <br /> — -- —_ -Vdilf- �- -- — <br /> i .^ `�f7c°° °n "nn�lr.q � <br /> -- -- ---�QGk(�0 Y P 1��^.r-T,� .�u'�------ <br /> —� --_— �l�r'yl.�, <br /> ��'fi'CIi.'�:.'� — <br /> � I <br /> TOTAL <br /> REMARKS: L.11�� ( — <br /> (Jl� <br />